Ikeda, Takehisa

Ikeda, Takehisa is an individual health care provider with primary practice located at 1140 Business Center Dr Ste 300 , Houston TX 77043-2742. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Ikeda, Takehisa can be contacted via phone (713) 464-9774.

Contact Information

Primary practice address
1140 Business Center Dr Ste 300 Houston TX 77043-2742
Phone: (713) 464-9774
Fax: (713) 464-9771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N0117 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X N0117 Texas
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X N0117 Texas

Profile Details

NPI number 1326203266
LBN Legal business name Ikeda, Takehisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2008
Last updated Oct 11th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326203266 NPPES
Texas MEDICAID 205456101

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