Doctor Name: | BONNIE J TAKASUGI |
NPI Number: | 1093753535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD00024354 |
Business Practice Address: | 16233 Sylvester Rd Sw Suite 110 Burien, WA - 981663045 |
Business Phone Number: | 2062412622 |
Business Fax Number: | 2062414429 |
Mailing Address: | Po Box 34936, Dept # 5006 SEATTLE |
State: | WA |
Postal Code: | 981241936 |
Phone Number: | 2064392988 |
Fax Number: | 2064313939 |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 12/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | MD00024354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |