Individual
PRUDENCE TANTE-TAKOUGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6350 GLENWAY AVE, SUITE 400, CINCINNATI, OH 45211-6378
(513) 481-3400
(513) 481-9901
Mailing address
6350 GLENWAY AVE, SUITE 400, CINCINNATI, OH 45211-6378
(513) 481-3400
(513) 481-9901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35082744
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2466675
—
OH
Enumeration date
07/05/2006
Last updated
02/17/2011
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