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Individual

THOMAS K TAKAYAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1135 116TH AVE NE, SUITE 620, BELLEVUE, WA 98004-4623
(425) 454-8016
(425) 453-2827
Mailing address
1135 116TH AVE NE, SUITE 620, BELLEVUE, WA 98004-4623
(425) 454-8016
(425) 453-2827

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00026422
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017428
WA
Enumeration date
11/02/2006
Last updated
09/28/2017
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