Individual
DR. MARC D KOHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 502-2673
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 502-2673
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01061928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200912230
—
IN
01
—
P00764124
RAILROAD MEDICARE
IN
Enumeration date
06/15/2007
Last updated
01/11/2017
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