Derrick Koo is a Radiation Oncology in Roseville, California. Derrick Koo practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Derrick Koo is 1902984495. The last update date is 2021-12-13.
Derrick Koo's current location address is 504 Gibson Dr, Roseville, California. You can contact this provider via phone number 9167712871 and fax number 9167712841. The mailing address for Derrick Koo is 504 Gibson Dr, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Koo |
|---|---|
| Address | 504 Gibson Dr, Roseville, California |
| Phone Number | 9167712871 |
| Fax Number | 9167712841 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902984495 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-12-13 |
Provider Mailing Address Detail
| Address | 504 Gibson Dr |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956785799 |
| Phone Number | 9167712871 |
| Fax Number | 9167712841 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | A86734 |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A867340 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Derrick Koo by the Centers for Medicare & Medicaid Services?
The Derrick Koo has been assigned the NPI (National Provider Identifier) 1902984495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Derrick Koo is physically located?
The Derrick Koo is physically situated at the following address: 504 Gibson Dr, Roseville, CA, 956785799.
What is the Derrick Koo's area of specialization and corresponding taxonomy classification?
The Derrick Koo's specialty field is Radiation Oncology, and it falls under the taxonomy code 2085R0001X, which categorizes healthcare providers based on their specialties.
On what date did Derrick Koo receive its 1902984495 assignment from the Centers for Medicare & Medicaid Services?
The Derrick Koo was assigned its 1902984495 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Derrick Koo's details last updated?
The information pertaining to the Derrick Koo, including its address, specialty, and other details, was most recently updated on 2021-12-13.