Individual
MARK MAKOTO FUJITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 BEHRMAN PL, NEW ORLEANS, LA 70114-8216
(504) 371-9323
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.206019
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03281828
—
MS
05
—
2150197
—
LA
Enumeration date
04/18/2011
Last updated
12/15/2021
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