Individual
CLIFFORD TAKEMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(888) 226-4343
Mailing address
262 DANNY THOMAS PL # MS 800, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D55352
MD
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
58500
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555501900
—
MD
Enumeration date
07/05/2006
Last updated
01/27/2023
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