Takemoto, Clifford

Takemoto, Clifford is an individual health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Takemoto, Clifford can be contacted via phone (888) 226-4343.

Contact Information

Primary practice address
262 Danny Thomas Pl Memphis TN 38105-3678
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D55352 Maryland
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 58500 Tennessee

Profile Details

NPI number 1033140777
LBN Legal business name Takemoto, Clifford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jan 27th, 2023 - about 2 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 1033140777 NPPES
Maryland MEDICAID 555501900

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