Individual
RALPH MAXIMILLIAN KOENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G60981
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G60981
CA
2085R0204X
Vascular & Interventional Radiology Physician
G60981
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G609810
BLUE SHIELD
CA
05
—
00G609810
—
CA
01
—
300035771
RAILROAD MEDICARE
CA
01
—
300121787
RAILROAD MEDICARE
CA
Enumeration date
06/04/2006
Last updated
06/28/2026
Update your record
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