Organization
AZITA TAKESHIAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKI BAILEY (DOO)
(205) 699-1632
Entity
Organization
Contact information
Practice address
1923 COURSON CT, LEEDS, AL 35094-7510
(205) 699-1632
(866) 546-2124
Mailing address
100 PILOT MEDICAL DR, STE 275, BIRMINGHAM, AL 35235-3411
(205) 699-1632
(866) 546-2124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AL
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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