MARK KOUKKARI, M.D.
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology
Active
Individual
NPI: 1750479929
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | No | G74711 (CA) |
| Psychiatry & Neurology - Neurology | 2084N0400X | No | G74711 (CA) |
| Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology | 2084N0402X | Yes | G74711 (CA) |
Frequently Asked Questions
NPI 1750479929 is the National Provider Identifier for MARK KOUKKARI, M.D., a Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology provider located in San Jose, CA. This NPI was enumerated on October 11, 2006.
MARK KOUKKARI, M.D. practices at 2577 SAMARITAN DRIVE, SUITE 725, San Jose, CA 95129.
Quick Facts
- NPI
- 1750479929
- Type
- Individual
- Enumerated
- Oct 11, 2006
- Last Updated
- Mar 22, 2016
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