Individual
BRIAN KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 286-6260
Mailing address
PO BOX 208018, NEW HAVEN, CT 06520-8018
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
52133
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2849716
—
OH
01
—
P00743380
MEDICARE RAILROAD
OH
Enumeration date
09/07/2007
Last updated
02/27/2025
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