Provider Demographics
NPI:1609322346
Name:VOLK, IDO
Entity Type:Individual
Prefix:
First Name:IDO
Middle Name:
Last Name:VOLK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4860 Y STREET, SUITE 3800
Mailing Address - Street 2:DEPARTMENT OF ORTHOPAEDIC SURGERY, UC DAVIS MEDICAL CEN
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817
Mailing Address - Country:US
Mailing Address - Phone:916-734-5885
Mailing Address - Fax:
Practice Address - Street 1:4860 Y STREET, SUITE 3800
Practice Address - Street 2:DEPARTMENT OF ORTHOPAEDIC SURGERY, UC DAVIS MEDICAL CEN
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-5885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ99609390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program