Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 044999 | GA |
N | 208600000X | Surgeon | 044999 | GA |
N | 2086S0102X | Surgical Critical Care | 044999 | GA |
Y | 2086X0206X | Surgical Oncologist | 044999 | GA |
NPI | 1114956034 |
---|---|
Provider Name | Christopher K. Senkowski |
First Address | Savannah, GA 31404-6220 |
Second Address | Savannah, GA 31404-6220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000781096G | (05) | GA |
01366126 | AMERIGROUP (01) | |
G44999 | (05) | SC |
P00679509 | RAILROAD MEDICARE (01) | SC |
P01113781 | RAILROAD MEDICARE (01) | GA |
P01148287 | RAILROAD MEDICARE (01) | SC |