DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MODESTA MAKEH TAKO, MD

Active

DR. MODESTA MAKEH TAKO, MD is a Family Medicine healthcare provider located in ATLANTA, Georgia. NPI 1063410827 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ATLANTA, GA

Registration Details

NPI Number
1063410827
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2005 (20.902829783295 yrs)
Last Updated
Jan 10, 2022
Licenses
246485 (NY)
073157 (GA)

Practice Information

Address
1175 CASCADE PKWY SW
KAISER PERMANENTE CASCADE MEMORIAL CENTER
ATLANTA, GA, 303113090
Browse GA providers · Browse ZIP 30311
Phone
4045054006
Fax
4046912382
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in ATLANTA, GA

Name Credential NPI
RIBA KELSEY MD 1326048299
DR. DARRELL LEE MURRAY SR. M.D. 1447250170
DENISE MARIE BELL-CARTER MD 1467452680
DR. MICHELLE NICHOLS MD 1760482780
PAUL EDWARD COX M.D. 1841291895
SOPHIA L MCINTYRE M.D 1063413805
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.