Douglass Takashi Domoto in Saint Louis - Nephrology
Douglass Takashi Domoto - NPI 1588764724
Douglass Takashi Domoto is a Nephrology in Saint Louis, Missouri. Douglass Takashi Domoto practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Douglass Takashi Domoto is 1588764724. The last update date is 2007-07-08.
Douglass Takashi Domoto's current location address is 2606 Clark Ave, Saint Louis, Missouri. You can contact this provider via phone number 3145353720 and fax number 3245257391. The mailing address for Douglass Takashi Domoto is 2606 Clark Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglass Takashi Domoto |
|---|---|
| Address | 2606 Clark Ave, Saint Louis, Missouri |
| Phone Number | 3145353720 |
| Fax Number | 3245257391 |
| Sole Proprietor | Y |
| Credentials | M.D., J.D. |
NPI Number Detail
| NPI Number | 1588764724 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2606 Clark Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631032502 |
| Phone Number | 3145353720 |
| Fax Number | 3245257391 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | R6C21 |
|
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglass Takashi Domoto?
The Douglass Takashi Domoto has been issued the NPI (National Provider Identifier) 1588764724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Douglass Takashi Domoto is physically located?
The Douglass Takashi Domoto is physically situated at the following address: 2606 Clark Ave, Saint Louis, MO, 631032502.
What is Douglass Takashi Domoto's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglass Takashi Domoto's area of specialization is Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 207Rn0300X.
On what date did the Douglass Takashi Domoto receive its 1588764724 assignment from the Centers for Medicare & Medicaid Services?
The Douglass Takashi Domoto was assigned its 1588764724 by the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the information regarding Douglass Takashi Domoto, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Douglass Takashi Domoto, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH