Tako, Modesta Makeh

Tako, Modesta Makeh is an individual health care provider with primary practice located at 1175 Cascade Pkwy Sw Kaiser Permanente Cascade Memorial Center, Atlanta GA 30311-3090. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tako, Modesta Makeh can be contacted via phone (404) 505-4006.

Contact Information

Primary practice address
1175 Cascade Pkwy Sw Kaiser Permanente Cascade Memorial Center Atlanta GA 30311-3090
Phone: (404) 505-4006
Fax: (404) 691-2382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 246485 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 073157 Georgia

Profile Details

NPI number 1063410827
LBN Legal business name Tako, Modesta Makeh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jan 10th, 2022 - 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 1063410827 NPPES
New York MEDICAID 02957371

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