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Contact Information

PRUDENCE TANTE TAKOUGANG, MD
6350 GLENWAY AVE
SUITE 400
CINCINNATI, OH45211-6378
 Phone: 513-481-3400
 Fax: 513-481-9901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRUDENCE TANTE TAKOUGANG · (Female)

NPI Number 1871524082
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 02/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35082744
  • OH Medicaid 2466675
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
  • MERCY HOSPITAL FAIRFIELD - (Acute Care)
    3000 MACK ROAD
    FAIRFIELD, OH 45014
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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