Takayesu, James Kimo

Takayesu, James Kimo is an sole proprietor health care provider with primary practice located at 5 Emerson Place, Mgh Emergency Associates, Boston MA 02114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Takayesu, James Kimo can be contacted via phone (617) 726-5636.

Contact Information

Primary practice address
5 Emerson Place, Mgh Emergency Associates Boston MA 02114
Phone: (617) 726-5636
Fax: (617) 724-0917
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 216475 Massachusetts

Profile Details

NPI number 1528058336
LBN Legal business name Takayesu, James Kimo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated Jul 8th, 2007 - about 19 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 1528058336 NPPES
Massachusetts MEDICAID 2004933
Massachusetts Other 408265
Massachusetts Other J26000

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