Individual
PATRICIA A TAKEDA
Active
Individual
PATRICIA A TAKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G37296
CA
207RI0011X
Interventional Cardiology Physician
G37296
CA
207UN0901X
Nuclear Cardiology Physician
G37296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G372960
—
CA
01
—
060035969
RAILROAD MEDICARE
CA
05
—
GR0068230
—
CA
05
—
GR0068231
—
CA
05
—
GR0068232
—
CA
05
—
GR0068233
—
CA
05
—
GR0068235
—
CA
05
—
GR006823B
—
CA
01
—
ZZZ47673Z
BLUE SHIELD
CA
01
—
ZZZ47675Z
BLUE SHIELD
CA
01
—
ZZZ47676Z
BLUE SHIELD
CA
01
—
ZZZ62306Z
BLUE SHIELD
CA
Enumeration date
11/14/2006
Last updated
05/21/2014
Update your record
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