Takato Henry

Individual provider Active NPI Driver · Royal Oak, MI

NPI 1316873136 · NPPES record last updated Jun 19, 2026

Key facts

NPI
1316873136
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
H560785336057 (MI)
Practice address
2512 Rochester Rd
Royal Oak, MI 48073-3635
Phone
(248) 733-4325
NPI assigned
Jun 19, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X H560785336057 MI Yes

Addresses

Primary practice location

2512 Rochester Rd
Royal Oak, MI 48073-3635

Mailing address

2512 Rochester Rd
Royal Oak, MI 48073-3635

Other providers in Royal Oak, MI

All providers in Royal Oak, MI · Driver in Michigan

Sources for this page

Verify at the official NPI Registry.