Ryan D Niederkohr
Nuclear Medicine Specialist
700 Lawrence Expy Dept. 120
Santa Clara
, California 95051-5173
Ryan D Niederkohr
Nuclear Medicine Specialist
700 Lawrence Expy Dept. 120
Santa Clara
, California 95051-5173
(510) 625-6262
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Ryan D Niederkohr
- 1800 Harrison St Fl 7
- Oakland, CA
- Zip : 94612-3466
- Phone : (510) 625-6262
Second Address
- Ryan D Niederkohr
- 700 Lawrence Expy Dept. 120
- Santa Clara, CA
- Zip : 95051-5173
- Phone : (408) 851-5600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 35089135 | OH |
| Y | 207U00000X | Nuclear Medicine Specialist | A92396 | CA |
National Provider Identifier
| NPI | 1679795272 |
|---|---|
| Provider Name | Ryan D Niederkohr |
| First Address | Oakland, CA 94612-3466 |
| Second Address | Santa Clara, CA 95051-5173 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2007 |
| Last Update Date | 14/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2776643 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.