Provider Demographics
NPI:1063302016
Name:TAKYI MEDICAL CONCEPTS
Entity type:Organization
Organization Name:TAKYI MEDICAL CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:KWASI
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-931-6686
Mailing Address - Street 1:2785 VINING RIDGE TER
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-4197
Mailing Address - Country:US
Mailing Address - Phone:720-931-6686
Mailing Address - Fax:
Practice Address - Street 1:2785 VINING RIDGE TER
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-4197
Practice Address - Country:US
Practice Address - Phone:720-931-6686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies