Dr. Leo R Otake, MD, PHD
Plastic Surgery in Darien, Connecticut
1770761025- Practice location
- 722 Post RD, Darien, CT 06820
- Phone
- 203-656-9999
- Fax
- —
- Last updated
- May 14, 2018
Leo Ryo Otake is a Plastic Surgery based in Darien, CT. Leo Ryo Otake practices in Darien, CT and has the professional credentials of MD, PHD. The NPI Number for Leo Ryo Otake is 1770761025 and holds a License No. 246657 (NY). The current practice location address for Leo Ryo Otake is 722 Post RD, Darien, CT 06820 and can be reached out via phone at 203-656-9999.
Provider Profile Details
- NPI Number
- 1770761025
- Provider Name
- Leo Ryo Otake
- Credential
- MD, PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 722 Post RD, Darien, CT 06820
- Phone Number
- 203-656-9999
- Primary Taxonomy
- Plastic Surgery · 208200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 7, 2008
- Last Update Date
- May 14, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 722 Post RD
Darien, CT 06820 - City
- Darien
- State
- Connecticut
- Zip
- 06820
- Phone Number
- 203-656-9999
Provider Business Mailing Address Details
- Address
- 722 Post RD
Darien, CT 06820-4744 - City
- Darien
- State
- CT
- Zip
- 06820-4744
- Phone Number
- 203-656-9999
License Information
- License Number (1)
- 246657
- License State (1)
- NY
- Taxonomy (1)
- Plastic Surgery · 208200000X
- License Number (2)
- 046053
- License State (2)
- CT
- Taxonomy (2)
- Plastic Surgery · 208200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Leo R Otake, MD, PHD?
The NPI number of Dr. Leo R Otake, MD, PHD is 1770761025. It was assigned on February 7, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Leo R Otake, MD, PHD?
Dr. Leo R Otake, MD, PHD is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in NY under license number 246657.
Where does Dr. Leo R Otake, MD, PHD practice?
The practice location is 722 Post RD, Darien, CT 06820. The office can be reached at 203-656-9999 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770761025 directly on the NPPES registry website.