Provider Demographics
NPI:1700089265
Name:TAKESUYE, ROBERT KENT (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KENT
Last Name:TAKESUYE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:RADIOLOGY DEPT, RADIATION ONCOLOGY DIV
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-5000
Mailing Address - Country:US
Mailing Address - Phone:619-532-7274
Mailing Address - Fax:619-532-8178
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:RADIOLOGY DEPT, RADIATION ONCOLOGY DIVISION
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-5000
Practice Address - Country:US
Practice Address - Phone:619-532-7274
Practice Address - Fax:619-532-8178
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2014-05-12
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Provider Licenses
StateLicense IDTaxonomies
CA20A 92542085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology