| Doctor Name: | ANTOINE TAHKEAL |
| NPI Number: | 1114060001 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.T. (R) |
| License Number: | 319831 |
| Business Practice Address: | 401 Buster Rd Toppenish, WA - 989489792 |
| Business Phone Number: | 5098652102 |
| Business Fax Number: | |
| Mailing Address: | 4210 Holiday Ave, UNION GAP |
| State: | WA |
| Postal Code: | 989032110 |
| Phone Number: | 5092256677 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 319831 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |