Koy Trakoontri Gola in Glen Allen - Physician Assistant

Koy Trakoontri Gola - NPI 1649453341

Koy Trakoontri Gola is a Physician Assistant in Glen Allen, Virginia. Koy Trakoontri Gola practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Koy Trakoontri Gola is 1649453341. The last update date is 2018-03-29.

Koy Trakoontri Gola's current location address is 5000 Cox Rd, Glen Allen, Virginia. You can contact this provider via phone number 6095778900. The mailing address for Koy Trakoontri Gola is 5000 Cox Rd, Glen Allen, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Koy Trakoontri Gola
Address 5000 Cox Rd, Glen Allen, Virginia
Phone Number 6095778900
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1649453341
Provider Enumeration Date 2007-12-17
Last Updated Date 2018-03-29

Provider Mailing Address Detail

Address 5000 Cox Rd
City Glen Allen
State Virginia (VA)
Post Code 230609263
Phone Number 6095778900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No MA054396
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Koy Trakoontri Gola

What is the unique 10-digit identifier code assigned to Koy Trakoontri Gola by the Centers for Medicare & Medicaid Services?

The Koy Trakoontri Gola has been issued the NPI (National Provider Identifier) 1649453341 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Koy Trakoontri Gola is physically located?

The Koy Trakoontri Gola is situated at the following address: 5000 Cox Rd, Glen Allen, VA 230609263.

What is Koy Trakoontri Gola's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Koy Trakoontri Gola is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Koy Trakoontri Gola receive the assignment of its 1649453341 from the Centers for Medicare & Medicaid Services?

The Koy Trakoontri Gola was issued its 1649453341 by the Centers for Medicare & Medicaid Services on 2007-12-17.

As of what date were the details pertaining to Koy Trakoontri Gola last refreshed?

The information related to the Koy Trakoontri Gola, including its address, specialty, and other relevant details, was last updated on 2018-03-29.

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