De Kouchkovsky, Ivan Alexandre
De Kouchkovsky, Ivan Alexandre is an sole proprietor health care provider with primary practice located at 505 Parnassus Ave Internal Medicine Residency Program, San Francisco CA 94143-2204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. De Kouchkovsky, Ivan Alexandre can be contacted via phone (415) 476-1529.Contact Information
Primary practice address
505 Parnassus Ave Internal Medicine Residency Program
San Francisco CA 94143-2204
Phone: (415) 476-1529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | A152456 | California |
Profile Details
| NPI number | 1245692839 |
|---|---|
| LBN Legal business name | De Kouchkovsky, Ivan Alexandre |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2016 |
| Last updated | Mar 9th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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