Individual
RYAN D NIEDERKOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 LAWRENCE EXPY, DEPT. 120, SANTA CLARA, CA 95051-5173
(408) 851-5600
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
35089135
OH
207U00000X
Nuclear Medicine Physician
Primary
A92396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2776643
—
OH
Enumeration date
05/03/2007
Last updated
12/14/2021
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