Koenker, Ralph Maximillian

Koenker, Ralph Maximillian is an individual health care provider with primary practice located at 180 Rowland Way , Novato CA 94945-5009. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Koenker, Ralph Maximillian can be contacted via phone (415) 290-1500.

Contact Information

Primary practice address
180 Rowland Way Novato CA 94945-5009
Phone: (415) 290-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G60981 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G60981 California
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X G60981 California

Profile Details

NPI number 1891734265
LBN Legal business name Koenker, Ralph Maximillian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Mar 7th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891734265 NPPES
California MEDICAID 00G609810
California Other 300121787
California Other 00G609810
California Other 300035771

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