Individual provider · Type 1 NPI

Melanie Bagshaw Takubo, PA-C

Physician Assistant · Charleston, WV

NPI number 1124837257 Active

Practice location

3100 Maccorkle Ave SE Ste 902
Charleston, WV 25304-1234

Call (304) 388-6590 Map

Mailing address

119 Angel Ter
Charleston, WV 25314-2116

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X842 (WV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124837257

Melanie Bagshaw Takubo, PA-C's National Provider Identifier is 1124837257, issued on Jan 3, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, WV. The record was last updated on Jan 3, 2025.