Mark W. Koukkari in San Jose - Neurology With Special Qualifications In Child Neurology
Mark W. Koukkari - NPI 1750479929
Mark W. Koukkari is a Neurology With Special Qualifications In Child Neurology in San Jose, California. Mark W. Koukkari practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Mark W. Koukkari is 1750479929. The last update date is 2016-03-22.
Mark W. Koukkari's current location address is 2577 Samaritan Drive, San Jose, California. You can contact this provider via phone number 4085245700. The mailing address for Mark W. Koukkari is 2577 Samaritan Drive, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark W. Koukkari |
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Address | 2577 Samaritan Drive, San Jose, California |
Phone Number | 4085245700 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1750479929 |
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Provider Enumeration Date | 2006-10-11 |
Last Updated Date | 2016-03-22 |
Provider Mailing Address Detail
Address | 2577 Samaritan Drive |
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City | San Jose |
State | California (CA) |
Post Code | 951294552 |
Phone Number | 4085245700 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Neurology With Special Qualifications In Child Neurology |
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Taxonomy | 2084N0402X |
Licence No | G74711 |
Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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What is the unique 10-digit identification code assigned to Mark W. Koukkari by the Centers for Medicare & Medicaid Services?
The Mark W. Koukkari has been issued the NPI (National Provider Identifier) 1750479929, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark W. Koukkari's physical address?
The Mark W. Koukkari is physically located at 2577 Samaritan Drive, in the city of San Jose, CA, with the postal code 951294552.
What is Mark W. Koukkari's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark W. Koukkari's area of specialization is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0402X.
On what date was the 1750479929 assigned to Mark W. Koukkari?
The Mark W. Koukkari was issued its 1750479929 on 2006-10-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark W. Koukkari most recently updated or revised?
The information pertaining to Mark W. Koukkari, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-22.
NPI Number: 1376546309
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