DR. KEN JULIAN TAKEKOSHI M.D. NPI 1841349149

NPI Information

  • NPI: 1841349149
  • Provider Name: DR. KEN JULIAN TAKEKOSHI, M.D.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • Address: 1766 TRAIL RD
    MENDOTA HEIGHTS, MN
    ZIP 55118
  • Phone: (651) 756-0038

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NPI Details

DR. Ken Julian Takekoshi, M.D. is an anatomic pathology and clinical pathology pathology in Mendota Heights, MN. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Ken Julian Takekoshi, M.D. NPI is 1841349149. 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:

1766 TRAIL RD
MENDOTA HEIGHTS, MN
ZIP 55118-730
Phone: (651) 756-0038
Fax: (651) 389-0175

The enumeration date for this NPI number is 1/9/2007 and was last updated on 2/13/2017.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology036-114264ILLINOISNo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology54291MINNESOTANo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology56407-20WISCONSINNo
4207ZP0102XPathologyAnatomic Pathology & Clinical Pathology4301076830MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1220F160310OTHERMICHIGANBCBS
20F16031012MEDICARE PINMICHIGAN
34991871MEDICAIDMICHIGAN

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: 11/21/2025

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