Dr Ippei Takagi, MD | |
226 S Woods Mill Rd Ste 58, Chesterfield, MO 63017-3662 | |
(314) 877-2888 | |
Not Available |
Full Name | Dr Ippei Takagi |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 226 S Woods Mill Rd Ste 58, Chesterfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619144391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | 01083977A (Indiana) | Primary |
Entity Name | Khavkin Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679825483 PECOS PAC ID: 7517111545 Enrollment ID: O20130129000208 |
Mailing Address | Practice Location Address |
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Dr Ippei Takagi, MD 226 S Woods Mill Rd Ste 58, Chesterfield, MO 63017-3662 Ph: () - | Dr Ippei Takagi, MD 226 S Woods Mill Rd Ste 58, Chesterfield, MO 63017-3662 Ph: (314) 877-2888 |
Michael F Boland, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Suite 400 East, Chesterfield, MO 63017 Phone: 314-878-2888 Fax: 314-576-8157 | |
Scott H Purvines, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Suite 400 East, Chesterfield, MO 63017 Phone: 314-878-2888 Fax: 314-576-8187 |