Healthcare Provider Details

I. General information

NPI: 1104042829
Provider Name (Legal Business Name): DRS TURAK & COCHAN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CONNECTICUT AVE NW 106
WASHINGTON DC
20008-2509
US

IV. Provider business mailing address

9167 OLD DOMINION DR
MC LEAN VA
22102-1018
US

V. Phone/Fax

Practice location:
  • Phone: 202-797-9165
  • Fax:
Mailing address:
  • Phone: 703-759-9634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS L COCHRAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 202-797-9165