Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 16291 | OK |
NPI | 1013091966 |
---|---|
Provider Name | Satish Kohli |
First Address | Muskogee, OK 74401-5069 |
Second Address | Muskogee, OK 74401-5069 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 07/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100007810A | (05) | OK |
110020358 | RAIL ROAD MEDICARE (01) |