Koukkari, Mark W.

Koukkari, Mark W. is an individual health care provider with primary practice located at 2577 Samaritan Drive Suite 725, San Jose CA 95129-4552. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Koukkari, Mark W. can be contacted via phone (408) 524-5700.

Contact Information

Primary practice address
2577 Samaritan Drive Suite 725 San Jose CA 95129-4552
Phone: (408) 524-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G74711 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G74711 California
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X G74711 California

Profile Details

NPI number 1750479929
LBN Legal business name Koukkari, Mark W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 22nd, 2016 - about 10 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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