MEDICARE: TOSHIAKI TAKAHASHI 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	207RH0003X	Hematology & Oncology Physician	47508	OK
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1609566850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOSHIAKI TAKAHASHI M.D.

Provider Business Mailing Address
First Line	:	800 NE 10TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5418
Country	:	US
Telephone Number	:	405-271-4022
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 PUNCHBOWL ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813
Country	:	US
Telephone Number	:	808-691-1000
Fax Number	:

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

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	06/02/2026

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