Takagishi, Troy K
Takagishi, Troy K is an individual health care provider with primary practice located at 3991 Dutchmans Ln Ste 211 , Louisville KY 40207-4723. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Takagishi, Troy K can be contacted via phone (502) 899-6061.Contact Information
Primary practice address
3991 Dutchmans Ln Ste 211
Louisville KY 40207-4723
Phone: (502) 899-6061
Fax: (502) 899-6127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.122220 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036.122220 | Illinois |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | TP865 | Kentucky |
Profile Details
| NPI number | 1164685715 |
|---|---|
| LBN Legal business name | Takagishi, Troy K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Feb 6th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164685715 | NPPES |
| Kentucky | MEDICAID | 7100170030 | |
| Kentucky | MEDICAID | 201033700 | |
| Kentucky | Other | P00992208 | |
| Kentucky | Other | 50033886 |
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