Provider Demographics
NPI:1780825810
Name:WOKAS, AL
Entity Type:Individual
Prefix:MR
First Name:AL
Middle Name:
Last Name:WOKAS
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 1:14703 ALOHA AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6005
Mailing Address - Country:US
Mailing Address - Phone:408-868-9804
Mailing Address - Fax:
Practice Address - Street 1:14703 ALOHA AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-6005
Practice Address - Country:US
Practice Address - Phone:408-868-9804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor