Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEN T TAKEGAMI, MD
ActiveMR. KEN T TAKEGAMI, MD is a Dermatology healthcare provider located in TULLAHOMA, Tennessee. NPI 1932251873 is currently active in the NPPES registry. Verify at CMS.
Dermatology · TULLAHOMA, TN
Registration Details
- NPI Number
- 1932251873
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.563973986424 yrs)
- Last Updated
- Dec 4, 2009
- Licenses
-
MD021099 (TN)MD0000021099 (TN)MD0000021099 (TN)MD0000021099 (TN)
Practice Information
- Address
-
100 WILLIAM NORTHERN BLVDSUITE CTULLAHOMA, TN, 37388Browse TN providers · Browse ZIP 37388
- Phone
- 9314557400
- Fax
- 9314556344
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Procedural Dermatology
Other Dermatology Providers in TULLAHOMA, TN
| Name | Credential | NPI |
|---|---|---|
| DR. ISAAC GENE BRYAN | D.O. | 1558708701 |
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.