Tung Takher, Nisha

Tung Takher, Nisha is an sole proprietor health care provider with primary practice located at 802 Ainsworth Dr Ste.A, Prescott AZ 86301-1623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Tung Takher, Nisha can be contacted via phone (928) 445-6025.

Contact Information

Primary practice address
802 Ainsworth Dr Ste.A Prescott AZ 86301-1623
Phone: (928) 445-6025
Fax: (928) 777-2423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30696 Arizona
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 30696 Arizona

Profile Details

NPI number 1982688750
LBN Legal business name Tung Takher, Nisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Sep 22nd, 2015 - about 11 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 1982688750 NPPES
Arizona Other 86080015085259A289 TRIWEST
Arizona Other 060071200 TRIWEST
Arizona MEDICAID 715344 TRIWEST

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