- Practice location
- 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
- Phone
- 734-936-4000
- Fax
- —
- Last updated
- July 22, 2024
Jeanne Kochkodan-Self is a Radiology, Diagnostic Radiology based in Ann Arbor, MI. Jeanne Kochkodan-Self practices in Ann Arbor, MI and has the professional credentials of MD. The NPI Number for Jeanne Kochkodan-Self is 1669036307 and holds a License No. 4301511184 (MI). The current practice location address for Jeanne Kochkodan-Self is 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 and can be reached out via phone at 734-936-4000.
Provider Profile Details
- NPI Number
- 1669036307
- Provider Name
- Jeanne Kochkodan-Self
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
- Phone Number
- 734-936-4000
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Other Names
- Jeanne Marie Kochkodan, MD (Former Name)
- Provider Enumeration Date
- April 29, 2019
- Last Update Date
- July 22, 2024
- Certification Date
- July 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - City
- Ann Arbor
- State
- Michigan
- Zip
- 48109-5000
- Phone Number
- 734-936-4000
Provider Business Mailing Address Details
- Address
- 3621 S State St
Ann Arbor, MI 48108-1633 - City
- Ann Arbor
- State
- MI
- Zip
- 48108-1633
- Phone Number
- 734-647-5299
License Information
- License State (1)
- MA
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 4301511184
- License State (2)
- MI
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Ann Arbor, MI
View all Radiology, Diagnostic Radiology providers in Ann Arbor →- Anum Aslam, MDRadiology, Diagnostic Radiology · NPI 1356788467
- Fouad A Abdole, MDRadiology, Diagnostic Radiology · NPI 1073196317
- Dr. Brent T Accurso, DDS, MPHDentist, Oral and Maxillofacial Pathology · NPI 1174653158
- Anthony J AlnajjarDentist · NPI 1700621885
- Neha Agarwal, MDPsychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · NPI 1275088445
- Sheena M James, NPNurse Practitioner, Family · NPI 1023412814
Frequently Asked Questions
What is the NPI number of Jeanne Kochkodan-Self, MD?
The NPI number of Jeanne Kochkodan-Self, MD is 1669036307. It was assigned on April 29, 2019 and is currently active in the NPPES registry.
What is the specialty of Jeanne Kochkodan-Self, MD?
Jeanne Kochkodan-Self, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in MI under license number 4301511184.
Where does Jeanne Kochkodan-Self, MD practice?
The practice location is 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000. The office can be reached at 734-936-4000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669036307 directly on the NPPES registry website.