Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | R3027 | TX |
N | 207XS0117X | Orthopaedic Spine Surgeon | R3027 | TX |
NPI | 1043503238 |
---|---|
Provider Name | Dr. Kaku Barkoh |
First Address | Tomball, TX 77375-6410 |
Second Address | Tomball, TX 77375-6410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2011 |
Last Update Date | 03/04/2019 |