Healthcare Provider Details

I. General information

NPI: 1942998414
Provider Name (Legal Business Name): VERONICA FORTEH TAKOUGANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3177 BELLEVUE AVE
CINCINNATI OH
45219-0796
US

IV. Provider business mailing address

231 ALBERT SABIN WAY ML 0531
CINCINNATI OH
45267-0531
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-6356
  • Fax: 513-558-0995
Mailing address:
  • Phone: 513-558-6356
  • Fax: 513-558-0995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number57.257281
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: