Koburov, George T
Koburov, George T is an individual health care provider with primary practice located at 404 N Keene St , Columbia MO 65201-6626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Koburov, George T can be contacted via phone (573) 875-9400.Contact Information
Primary practice address
404 N Keene St
Columbia MO 65201-6626
Phone: (573) 875-9400
Fax: (573) 874-1547
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 2012015982 | Missouri |
Profile Details
NPI number | 1205995008 |
---|---|
LBN Legal business name | Koburov, George T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2006 |
Last updated | Sep 2nd, 2022 - about 3 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205995008 | NPPES |
Missouri | MEDICAID | 205647605 |
Popular Providers
-
Shafa, Mehrdad
1919 E Thomas Rd Department Of Emergency Medicine, Phoenix AZ 85016-7710 -
Mcintosh, Mark Stephen
655 W 8Th St Ufjp Emergency Medicine, Jacksonville FL 32209-6511 -
Miller, Helen Carney
135 Jefferson Ave , Buckley WA 98321-7505 -
Whatley, Valerie Neale
1014 Vch 2200 Children'S Way, Nashville TN 37232-0001 -
Fuerst, Ronnie S
14 Richland Medical Park Dr Ste 350 , Columbia SC 29203-6896 -
Hartstein, Bonnie H
333 N Santa Rosa , San Antonio TX 78207-3108 -
Johnson, Andrew Scott
3601 The Vanderbilt Clinic , Nashville TN 37323-5100 -
Vincent, James S
301 Medic Ln , Alvin TX 77511-5542