Individual
ADA ANN KORANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2505 SAMARITAN DR, SUITE 404, SAN JOSE, CA 95124-4006
(408) 358-4000
(408) 358-4005
Mailing address
2505 SAMARITAN DR, SUITE 404, SAN JOSE, CA 95124-4006
(408) 358-4000
(408) 358-4005
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G30624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060053371
RAILROAD MEDICARE
CA
Enumeration date
04/18/2006
Last updated
08/04/2008
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