Provider Demographics
NPI:1861522153
Name:OHKI, TAKAO
Entity type:Individual
Prefix:
First Name:TAKAO
Middle Name:
Last Name:OHKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 MARCUS AVENUE
Mailing Address - Street 2:LIJMC-DEPT OF SURGERY - DIV OF VASCULAR SURGERY
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-233-3701
Mailing Address - Fax:
Practice Address - Street 1:1999 MARCUS AVENUE
Practice Address - Street 2:LIJMC-DEPT OF SURGERY - DIV OF VASCULAR SURGERY
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-233-3701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2216352086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery