| 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 |
|---|---|
| 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 |
|---|---|---|---|
| 1619144391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 01083977A (Indiana) | Primary |
| Entity Name | Khavkin Clinic, Pllc |
|---|---|
| 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 |
|---|---|
| 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 |