Individual provider · Type 1 NPI

Kotaro Takeda, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1811494313 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Other practice locations

  • 3550 Terrace Street, Pittsburgh, PA 15267-3410 · (412) 802-6014
  • 2100 Stantonsburg Rd, Greenville, NC 27834-2818 · (252) 744-1229
  • 3600 Forbes Ave Ste 140, Pittsburgh, PA 15213-3410 · (412) 802-6014

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology Physician 207ZP0101X328985 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1811494313

Kotaro Takeda, MD's National Provider Identifier is 1811494313, issued on Apr 11, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Apr 5, 2024.