Individual
TAKASHI HATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01066087A
IN
207RN0300X
Nephrology Physician
Primary
01066087A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001024826
ANTHEM PTAN
IN
05
—
201072400
—
IN
Enumeration date
05/26/2007
Last updated
02/24/2025
Update your record
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