Modesta M Tako M.D.

NPI 1063410827 - Family Medicine - 207Q00000X

NPI Details
NPI 1063410827
Gender Female
Enumeration Date 07/14/2005
Last Updated 07/16/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
3355 CASCADE RD SW
ATLANTA GA, 30311-3678, US
Phone (404) 691-2529
Fax (404) 691-2382
Business Location
3355 CASCADE RD SW
ATLANTA GA, 30311-3678, US
Phone (404) 691-2529
Fax (516) 542-5556
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 246485
Remove 1063410827 NPI Number
 

According to our database, Dr. Modesta M Tako M.D. NPI is 1063410827, taxonomy code is 207Q00000X and license number is 246485, license state is located at New York. Modesta M Tako M.D. physically located at 3355 Cascade Rd Sw, Atlanta GA, 30311-3678. NPI Number Modesta M Tako M.D. has the Individual type.

Sponsored links

1063410827 NPI number is provided on an as is basis without warranty of any kind. 1063410827 is maintained by the National Plan & Provider Enumeration System. The contents of Modesta M Tako M.D. are for informational purposes only.