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NPI Code Detail

MEDICARE: DR. ALLA KOLKIN M.D02

MEDICARE:  DR. ALLA  KOLKIN  M.D02
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35-076603OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851403596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLA KOLKIN M.D02
Provider Business Mailing Address
First Line : 3461 WARRENSVILLE CENTER RD
Second Line : SUITE 207
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5260
Country : US
Telephone Number : 216-751-1900
Fax Number : 216-751-1970
Provider Business Practice Location Address
First Line : 3461 WARRENSVILLE CENTER RD
Second Line : SUITE 207
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5260
Country : US
Telephone Number : 216-751-1900
Fax Number : 216-751-1970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 09/06/2023

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Directions to “ DR. ALLA KOLKIN M.D02” Practice Location

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