Individual
LEO ISRAEL KOROTKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 YORK RD, SUITE 22, LUTHERVILLE, MD 21093-6210
(410) 823-9333
(410) 823-9335
Mailing address
1205 YORK RD, SUITE 22, LUTHERVILLE, MD 21093-6210
(410) 823-9333
(410) 823-9335
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0024017
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218835
MAMSI/ALLIANCE
MD
01
—
5037
BC/BS
MD
01
—
S042
BLUE CHOICE/BC/BS FEDERAL
MD
Enumeration date
06/30/2005
Last updated
02/17/2016
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