Provider Demographics
NPI:1467564872
Name:KOKKO, JUHA P (MD)
Entity Type:Individual
Prefix:
First Name:JUHA
Middle Name:P
Last Name:KOKKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1364 CLIFTON RD NE 2D TRANSPLANT
Mailing Address - Street 2:EMORY UNIVERSITY HOSPITAL - NEPHROLOGY
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-712-5676
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE 2D TRANSPLANT
Practice Address - Street 2:EMORY UNIVERSITY HOSPITAL - NEPHROLOGY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-712-5676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA10587207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD29964Medicare UPIN