Tung Takher, Nisha
Tung Takher, Nisha is an sole proprietor health care provider with primary practice located at 802 Ainsworth Dr Ste.A, Prescott AZ 86301-1623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Tung Takher, Nisha can be contacted via phone (928) 445-6025.Contact Information
Primary practice address
802 Ainsworth Dr Ste.A
Prescott AZ 86301-1623
Phone: (928) 445-6025
Fax: (928) 777-2423
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 30696 | Arizona |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 30696 | Arizona |
Profile Details
NPI number | 1982688750 |
---|---|
LBN Legal business name | Tung Takher, Nisha |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 5th, 2005 |
Last updated | Sep 22nd, 2015 - about 9 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 | 1982688750 | NPPES |
Arizona | Other | 86080015085259A289 | TRIWEST |
Arizona | Other | 060071200 | TRIWEST |
Arizona | MEDICAID | 715344 | TRIWEST |
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