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

Hodaka Takaiso, MB

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215628474

Hodaka Takaiso, MB is a Student in an Organized Health Care Education/Training Program in Pittsburgh, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

4401 Penn Ave Ste 2000 Ste 02000 Faculty Pavilion
Pittsburgh, PA 15224-1334
Phone: (412) 692-6236
Fax: (412) 692-6076
Show map & directions

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 · Licence MD496135 (PA)

Record details

NPI number1215628474
Entity typeIndividual (Type 1)
GenderMale
Credentials MB
Sole proprietorNo
NPI enumeratedMay 18, 2023
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026

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