Provider Demographics
NPI:1386252310
Name:TKACH, MARKO STEPHEN (DO)
Entity type:Individual
Prefix:
First Name:MARKO
Middle Name:STEPHEN
Last Name:TKACH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:277 PLEASANT ST STE 202
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-3005
Mailing Address - Country:US
Mailing Address - Phone:508-235-0481
Mailing Address - Fax:508-235-1034
Practice Address - Street 1:277 PLEASANT ST STE 202
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-3005
Practice Address - Country:US
Practice Address - Phone:508-235-0481
Practice Address - Fax:508-235-1034
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2025-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA1024986207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism