Provider Demographics
NPI:1669404109
Name:TAKOUDES, TAMARA C (MD)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:C
Last Name:TAKOUDES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WESTMORELAND DR UNIT 1
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2121
Mailing Address - Country:US
Mailing Address - Phone:617-331-0440
Mailing Address - Fax:
Practice Address - Street 1:131 ORNAC
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4181
Practice Address - Country:US
Practice Address - Phone:978-371-1396
Practice Address - Fax:978-371-8277
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209957207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA209957OtherMA LICENSE