Individual
DR. MASATO TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE CHILDREN'S HOSPITAL, SEATTLE, WA 98105-3901
(206) 987-1713
Mailing address
1214 S MCCLELLAN ST, SEATTLE, WA 98144-5043
(206) 329-0211
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C29468
CA
2080P0202X
Pediatric Cardiology Physician
Primary
C-29468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
C29468
LICENCE
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
06/02/2006
Last updated
08/07/2013
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