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Individual

MRINMAYEE HEMANT TAKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3670
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3670
(202) 476-4741

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
0101281631
VA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
D0100382
MD
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD500003032
DC

Other

Enumeration date
03/19/2019
Last updated
10/04/2024
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