Kokotakis, Emanuel Joseph

Kokotakis, Emanuel Joseph is an individual health care provider with primary practice located at 18101 Prince Philip Dr , Olney MD 20832-1514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kokotakis, Emanuel Joseph can be contacted via phone (301) 774-8882.

Contact Information

Primary practice address
18101 Prince Philip Dr Olney MD 20832-1514
Phone: (301) 774-8882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D56030 Maryland

Profile Details

NPI number 1255350278
LBN Legal business name Kokotakis, Emanuel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 13th, 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 1255350278 NPPES
Maryland MEDICAID 326502101

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