Kokoska, Evan R.

Kokoska, Evan R. is an individual health care provider with primary practice located at 2001 W. 86Th Street Pediatric Hospital, Indianapolis IN 46260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Kokoska, Evan R. can be contacted via phone (317) 338-8857.

Contact Information

Primary practice address
2001 W. 86Th Street Pediatric Hospital Indianapolis IN 46260
Fax: (317) 338-8858
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 01053703A Indiana

Profile Details

NPI number 1962592469
LBN Legal business name Kokoska, Evan R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Sep 8th, 2010 - about 14 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 1962592469 NPPES
Arkansas MEDICAID 150489001

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