Individual
DR. EMANUEL JOSEPH KOKOTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8882
Mailing address
18101 PRINCE PHILIP DRIVE, MEDSTAR MONTGOMERY MEDICAL CENTER, OLNEY, MD 20832
(301) 774-8882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D56030
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326502101
—
MD
Enumeration date
07/19/2006
Last updated
06/13/2012
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