Individual
DR. MYLES B KOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8220 GOOD LUCK RD, LANHAM, MD 20706
(301) 459-7990
(301) 459-7993
Mailing address
1100 MERCANTILE LANE, SUITE 150, LARGO, MD 20774
(301) 249-0022
(301) 249-7640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0047305
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403810001
—
MD
Enumeration date
07/18/2006
Last updated
10/15/2007
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