Individual
MARK ANDREW KOCAB
Active
Individual
MARK ANDREW KOCAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
143712
MT
207RG0100X
Gastroenterology Physician
4301512571
MI
207RG0100X
Gastroenterology Physician
74150
TN
207RG0100X
Gastroenterology Physician
Primary
ME0774610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02902
BCBS
FL
01
—
2629306
AETNA HMO
—
01
—
2950007
UNITED HEALTHCARE
—
01
—
5083786
AETNA PPO
—
01
—
7485722003
CIGNA
—
Enumeration date
01/31/2006
Last updated
05/08/2025
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