Individual
KATHERINE MAKAITA TAKUNDWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 7TH STREET, SE, DECATUR, AL 35601-4023
(256) 341-2909
(256) 341-2552
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 341-2909
(256) 341-2552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29101
AL
208M00000X
Hospitalist Physician
N4776
TX
Other
Enumeration date
09/14/2007
Last updated
02/10/2016
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