Provider Demographics
NPI:1104037845
Name:COHEN, IRVING A (MD)
Entity Type:Individual
Prefix:DR
First Name:IRVING
Middle Name:A
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1919 SW 10 AVE
Mailing Address - Street 2:SUITE 22
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1411
Mailing Address - Country:US
Mailing Address - Phone:785-783-7779
Mailing Address - Fax:866-516-1321
Practice Address - Street 1:1919 SW 10 AVE
Practice Address - Street 2:STE 22
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1411
Practice Address - Country:US
Practice Address - Phone:785-783-7779
Practice Address - Fax:866-933-1321
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-251852083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine