Individual
DR. SHINOBU ITAGAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 NE 10TH ST STE 4G, OKLAHOMA CITY, OK 73104-5417
(405) 271-5789
(405) 271-1643
Mailing address
515 CENTRAL PARK DR STE 5009, OKLAHOMA CITY, OK 73105-1724
(405) 764-8066
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
390200000X
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
43760
OK
Other
Enumeration date
05/12/2011
Last updated
01/26/2026
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