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Individual

ELVIS TAKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
9650 E WASHINGTON ST, INDIANAPOLIS, IN 46229-3032
(317) 890-5500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
07001512A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD305039
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/20/2021
Last updated
03/02/2026
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