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General NPI Number Information
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NPI Number | 1932542602
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Entity Type | Individual
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Provider Name | KOMAL D. KOYA D.O
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Gender | Female
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 333 CHESTNUT ST STE 205
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City | HINSDALE
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State | IL
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Zip | 60521-3700
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Country | US
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Telephone | 630-654-3376
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Fax |
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Provider Business Mailing Address
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Address Line | 333 CHESTNUT ST # 205
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City | HINSDALE
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State | IL
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Zip | 60521-3700
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Country | US
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Telephone | 630-654-3376
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036139072
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.063964
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License Number State | IL
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