DR. SOSTANIE TAKOTA ENORU M.D. NPI 1740671254

NPI Information

NPI: 1740671254
Provider Name: DR. SOSTANIE TAKOTA ENORU, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
3501 W TRUMAN BLVD # A
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 636-0635
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DR. Sostanie Takota Enoru, M.D. is a cardiovascular disease internal medicine in Jefferson City, MO with 15 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Sostanie Takota Enoru, M.D. NPI is 1740671254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3501 W TRUMAN BLVD # A
JEFFERSON CITY, MO
ZIP 65109-514
Phone: (573) 636-0635

The NPI 1740671254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/5/2015 and was last updated on 8/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		292675	NEW YORK	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	292675	NEW YORK	No
3	207RI0011X	Internal Medicine	Interventional Cardiology	2022031212	MISSOURI	No
4	208M00000X	Hospitalist		292675	NEW YORK	No
5	390200000X	Student in an Organized Health Care Education/Training Program		292675	NEW YORK	No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	2022031212	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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