Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Takla, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790416634

Andrew Takla, MD is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1425 Portland Ave Bldg 3
Rochester, NY 14621-3095
Phone: (585) 922-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1790416634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

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