MEDICARE: DR. MINDA TE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080N0001X	Neonatal-Perinatal Medicine Physician	35061633	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174526206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MINDA TE M.D.

Provider Business Mailing Address
First Line	:	2213 CHERRY ST.
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43608-2691
Country	:	US
Telephone Number	:	419-251-4360
Fax Number	:	419-251-5117

Provider Business Practice Location Address
First Line	:	2213 CHERRY ST.
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43608-2691
Country	:	US
Telephone Number	:	419-251-7960
Fax Number	:	479-251-3816

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	04/09/2025

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Directions to “ DR. MINDA TE M.D.” Practice Location

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