Individual
TIMOTHY M. KOCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4160
(775) 823-1966
Mailing address
PO BOX 7055, RENO, NV 89510-7055
(775) 823-1999
(775) 823-1966
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
6636
NV
2085R0202X
Diagnostic Radiology Physician
Primary
6636
NV
2085R0204X
Vascular & Interventional Radiology Physician
6636
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016543
—
NV
01
—
300038829
RAILROAD MEDICARE
—
Enumeration date
06/22/2005
Last updated
04/02/2024
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