Takeda, Kotaro

Takeda, Kotaro is an individual health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Takeda, Kotaro can be contacted via phone (203) 688-4242.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Phone: (203) 688-4242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 328985 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1811494313
LBN Legal business name Takeda, Kotaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2018
Last updated Apr 5th, 2024 - about last year

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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