Kokanovich, Timothy

Kokanovich, Timothy is an sole proprietor health care provider with primary practice located at 5777 E Mayo Blvd , Phoenix AZ 85054-4502. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Kokanovich, Timothy can be contacted via phone (480) 342-2000.

Contact Information

Primary practice address
5777 E Mayo Blvd Phoenix AZ 85054-4502
Phone: (480) 342-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 401 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 64460 Arizona

Profile Details

NPI number 1477057768
LBN Legal business name Kokanovich, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2018
Last updated May 23rd, 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.

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