Provider Demographics
NPI:1760610257
Name:KOCAK, BRITTA (MD)
Entity Type:Individual
Prefix:
First Name:BRITTA
Middle Name:
Last Name:KOCAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1910
Mailing Address - Country:US
Mailing Address - Phone:412-897-5032
Mailing Address - Fax:
Practice Address - Street 1:4221 PENN AVE
Practice Address - Street 2:SUITE 5400
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1307
Practice Address - Country:US
Practice Address - Phone:412-692-6328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT194907208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics