person
Dr. Kelli Takahata, MD
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
NPI 1407171333

Kelli Takahata is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Kelli Takahata practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Kelli Takahata is 1407171333 and holds a License No. (Massachusetts).

The current practice location address for Kelli Takahata is 55 Lake Avenue North, Worcester, MA and can be reached out via phone at 508-334-1000. You can also correspond with Kelli Takahata through the mailing address at 55 LAKE AVENUE NORTH, WORCESTER, MA - 01655 (mailing address contact number: 508-334-1000).

Location: 55 Lake Avenue North, Worcester, MA, 01655
person
Provider Profile Details
NPI Number
1407171333
Provider Name
Kelli Takahata
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Avenue North, Worcester, MA, 01655
Phone Number
508-334-1000
Fax Number
Provider Enumeration Date
04/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Lake Avenue North
City
State
Zip
01655
Phone Number
508-334-1000
Fax Number
person
Provider Business Mailing Address Details
Address
55 Lake Avenue North
City
State
Zip
01655
Phone Number
508-334-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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