Nakamura, Takahiro Ignacio

Nakamura, Takahiro Ignacio is an individual health care provider with primary practice located at 325 Central Ave , Malvern PA 19355-3265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Nakamura, Takahiro Ignacio can be contacted via phone (610) 234-7900.

Contact Information

Primary practice address
325 Central Ave Malvern PA 19355-3265
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 483847 Pennsylvania

Profile Details

NPI number 1356831242
LBN Legal business name Nakamura, Takahiro Ignacio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2018
Last updated Aug 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356831242 NPPES
New York MEDICAID 13-3971298

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