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Ralph Maximillian Koenker, MD
Neuroradiology Physician in Novato, California
NPI 1891734265

Ralph Maximillian Koenker is a Neuroradiology Physician based in Novato, CA and is specialized in Neuroradiology. Ralph Maximillian Koenker practices in Novato, CA and has the professional credentials of MD. The NPI Number for Ralph Maximillian Koenker is 1891734265 and holds a License No. G60981 (California).

The current practice location address for Ralph Maximillian Koenker is 180 Rowland Way, Novato, CA and can be reached out via phone at 415-290-1500.

Location: 180 Rowland Way, Novato, CA, 94948-6102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891734265
Provider Name
Ralph Maximillian Koenker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
180 Rowland Way, Novato, CA, 94948-6102
Phone Number
415-290-1500
Fax Number
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G609810 05 CA
300121787 01 CA RAILROAD MEDICARE
00G609810 01 CA BLUE SHIELD
300035771 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
180 Rowland Way
City
Novato
State
California
Zip
94945-5009
Phone Number
415-290-1500
Fax Number
person
Provider Business Mailing Address Details
Address
180 Rowland Way
City
Novato
State
California
Zip
94945-5009
Phone Number
415-290-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
G60981 (California)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G60981 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
G60981 (California)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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