Azita Takeshian MD

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

AZITA TAKESHIAN MD

Practice address

1923 Courson CT
Leeds, AL 35094-7510

Phone

(205) 699-1632

Fax

(866) 546-2124

NPI assigned

Jun 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacki Bailey

Title

Doo

Phone

(205) 699-1632

Specialties & licenses 1

Addresses

Tax ID family

Azita Takeshian MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Azita Takeshian MD PC

  • Nephrology Physician
  • Birmingham, AL
  • NPI 1902078405
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Azita Takeshian, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1518927532
  NPD
• Diane R Counce, MD

  • Neurology Physician
  • Birmingham, AL
  • NPI 1417989740
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1801277181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DR",
            "address_2": "STE 275",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353411",
            "telephone_number": "205-699-1632",
            "fax_number": "866-546-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 COURSON CT",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350947510",
            "telephone_number": "205-699-1632",
            "fax_number": "866-546-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZITA TAKESHIAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "205-699-1632"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Anthony
• Anvctoria Anyanwu
• Victoria Marie Applequist
• Kesley Augustine
• Aultman Dental Leeds
• Shaun Bailey, PHARMD
• Cathy Ann Barber
• Reagan Barclay-Asay
• Lauren Barreto, PHARMD
• Rebecca Leigh Bates, CRNP

• Specialist in Leeds, AL
• Providers in Leeds, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.