Leo Ryo Otake is a Plastic Surgery in Darien, Connecticut. Leo Ryo Otake practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Leo Ryo Otake is 1770761025. The last update date is 2018-05-14.
Leo Ryo Otake's current location address is 722 Post Rd, Darien, Connecticut. You can contact this provider via phone number 2036569999. The mailing address for Leo Ryo Otake is 722 Post Rd, Darien, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo Ryo Otake |
|---|---|
| Address | 722 Post Rd, Darien, Connecticut |
| Phone Number | 2036569999 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1770761025 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2018-05-14 |
Provider Mailing Address Detail
| Address | 722 Post Rd |
|---|---|
| City | Darien |
| State | Connecticut (CT) |
| Post Code | 68204744 |
| Phone Number | 2036569999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 246657 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D400026606 | CT | INDIVIDUAL MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Leo Ryo Otake by the Centers for Medicare & Medicaid Services?
The Leo Ryo Otake has been assigned the NPI (National Provider Identifier) 1770761025. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Leo Ryo Otake?
The Leo Ryo Otake is situated at 722 Post Rd, in the city of Darien, state of CT, with the zip code 68204744.
What is the Leo Ryo Otake's area of specialization and corresponding taxonomy classification?
The Leo Ryo Otake's specialty field is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1770761025 to Leo Ryo Otake?
The Centers for Medicare & Medicaid Services assigned the 1770761025 to Leo Ryo Otake on 2008-02-07.
As of what date were the details pertaining to Leo Ryo Otake last refreshed?
The information related to the Leo Ryo Otake, including its address, specialty, and other relevant details, was last updated on 2018-05-14.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC