IndividualActive
Tamejiro Takubo, D.O.
NPI 1841218872 · Critical Care Medicine (Internal Medicine) Physician · South Charleston, WV
Provider details
- NPI number
- 1841218872
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 1828 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4619 Kanawha Ave Sw
South Charleston, WV 25309-1319
Phone: (304) 400-4545
Fax: (304) 400-4546
Approximate (ZIP-level) locationGet directions
Mailing address
4619 Kanawha Ave Sw
South Charleston, WV 25309-1319
Additional practice locations (1)
- 3200 Maccorkle Ave SeCharleston, WV 25304-1227Phone: (304) 388-5432
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2020-01-30
- Certified
- 2020-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.