Individual
DR. MICHAEL W. ITAGAKI
Active
Individual
DR. MICHAEL W. ITAGAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
81016-20
WI
2085R0202X
Diagnostic Radiology Physician
A99197
CA
2085R0202X
Diagnostic Radiology Physician
MD60125332
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
81016
WI
2085R0204X
Vascular & Interventional Radiology Physician
MD60125332
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212024
—
WI
05
—
2023112
—
WA
01
—
305309
LNI PROVIDER ID
WA
01
—
314444
LNI PROVIDER ID
WA
05
—
685050
—
HI
Enumeration date
10/15/2008
Last updated
08/06/2025
Update your record
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