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NPI Code Detail

MEDICARE: DR. TAKASHA LATOYA RENEE STEWART-HUBBARD M.D.

MEDICARE: DR. TAKASHA LATOYA RENEE STEWART-HUBBARD 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
1207R00000XInternal Medicine Physician39082KY
2208M00000XHospitalist Physician41071TN
3208M00000XHospitalist Physician28279MS
4208M00000XHospitalist Physician41602AL

General Provider Information

NPI Number : 1467423491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAKASHA LATOYA RENEE STEWART-HUBBARD M.D.
Provider Business Mailing Address
First Line : 1201 7TH ST SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-3337
Country : US
Telephone Number : 256-973-2909
Fax Number : 256-973-2552
Provider Business Practice Location Address
First Line : 1201 7TH ST SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-3337
Country : US
Telephone Number : 256-973-2909
Fax Number : 256-973-2552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2006
Last Update Date : 10/03/2024

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