Provider Demographics
NPI:1538237128
Name:FRANCIS H KOCH MD INC
Entity type:Organization
Organization Name:FRANCIS H KOCH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:KOCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD INC
Authorized Official - Phone:650-325-6778
Mailing Address - Street 1:211 QUARRY RD
Mailing Address - Street 2:SUITE 203 MC5993
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1416
Mailing Address - Country:US
Mailing Address - Phone:650-325-6778
Mailing Address - Fax:650-325-1816
Practice Address - Street 1:211 QUARRY RD
Practice Address - Street 2:SUITE 203 MC5993
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1416
Practice Address - Country:US
Practice Address - Phone:650-325-6778
Practice Address - Fax:650-325-1816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG22349207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G223491Medicare PIN
CAA41548Medicare UPIN