Individual
DR. AZITA TAKESHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 PILOT MEDIDCAL DRIVE, STE 275, BIRMINGHAM, AL 35235
(205) 380-2205
(205) 380-2206
Mailing address
100 PILOT MEDIDCAL DRIVE, STE 275, BIRMINGHAM, AL 35235
(205) 380-2205
(205) 380-2206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14115
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00085274
—
AL
01
—
631096291
TAX ID #
AL
Enumeration date
03/24/2006
Last updated
06/20/2024
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