Individual
SHELDON M KOP
Active
Individual
SHELDON M KOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5590
NV
2085R0202X
Diagnostic Radiology Physician
G54188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013003
—
NV
01
—
300034706
RAILROAD MEDICARE
NV
01
—
30WCCBR04
MEDICARE PTAN
NV
01
—
AX909X
MEDICARE PTAN
CA
01
—
FS4913489
MEDICAL
CA
Enumeration date
07/06/2006
Last updated
09/18/2014
Update your record
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