Provider Demographics
NPI:1083986616
Name:KORKOS, JAMES GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GEORGE
Last Name:KORKOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 CLAYTON RD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2100
Mailing Address - Country:US
Mailing Address - Phone:925-785-7100
Mailing Address - Fax:
Practice Address - Street 1:2300 CLAYTON RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2100
Practice Address - Country:US
Practice Address - Phone:925-785-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67242207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology