Individual
DR. NICHOLAS TACHIBANA SAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 944-7701
Mailing address
1031 EVERETT AVE APT 8, LOUISVILLE, KY 40204-1247
(210) 854-5284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01094840A
IN
Other
Enumeration date
04/02/2021
Last updated
09/20/2024
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