Individual provider · Type 1 NPI

Hodaka Takaiso, M.B.

Student in an Organized Health Care Education/Training Program · Pittsburgh, PA

NPI number 1215628474 Active

Practice location

4401 Penn Ave Ste 2000, Suite 02000, Faculty Pavilion
Pittsburgh, PA 15224-1334

Fax (412) 692-6076

Mailing address

3600 Forbes Ave
Pittsburgh, PA 15213-3410

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMD496135 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215628474

Hodaka Takaiso, M.B.'s National Provider Identifier is 1215628474, issued on May 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pittsburgh, PA. The record was last updated on Jun 28, 2026.