Takeuchi, Koh

Takeuchi, Koh is an individual health care provider with primary practice located at 115 Heart Dr East Carolina Heart Institute At Ecu, Greenville NC 27834-8944. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Takeuchi, Koh can be contacted via phone (252) 744-4400.

Contact Information

Primary practice address
115 Heart Dr East Carolina Heart Institute At Ecu Greenville NC 27834-8944
Phone: (252) 744-4400
Fax: (252) 744-3987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 99-7946-99 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 2014-00071 North Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2014-00071 North Carolina

Profile Details

NPI number 1740603018
LBN Legal business name Takeuchi, Koh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2014
Last updated May 8th, 2014 - about 12 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 1740603018 NPPES
Massachusetts MEDICAID AC1220007-KT869
Massachusetts Other 1847S
Massachusetts MEDICAID 1740603018

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