Provider Demographics
NPI:1811473622
Name:KOCHENDERFER, JAMES NOBLE (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:NOBLE
Last Name:KOCHENDERFER
Suffix:
Gender:M
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:NIH BUILDING 10 ROOM 3-3330
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1201
Mailing Address - Country:US
Mailing Address - Phone:240-760-6062
Mailing Address - Fax:
Practice Address - Street 1:NIH BUILDING 10 ROOM 3-3330
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1201
Practice Address - Country:US
Practice Address - Phone:240-760-6062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-15
Last Update Date:2018-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6056207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology