National Provider Identifier

John Evis Coda, MD

John Evis Coda, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Canandaigua, NY and a listed phone number of (585) 396-6129.

NPI 1245890375Canandaigua, NYInternal Medicine Physician

Profile Overview

NPI
1245890375
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
June 20, 2019
Last Updated
May 08, 2024

Practice Location

  • 350 Parrish St
  • Canandaigua, NY 14424-1731

Phone: (585) 396-6129

Specialties

  • Internal Medicine Physician (207R00000X)
  • Internal Medicine Physician (207R00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1245890375
Entity Type
Individual
Last Name
Coda
First Name
John
Middle Name
Evis
Credential
MD
Mailing Street Address
350 Parrish St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1731
Mailing Country
US
Practice Street Address
350 Parrish St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1731
Practice Country
US
Practice Phone
(585) 396-6129
Enumeration Date
June 20, 2019
Last Updated
May 08, 2024
Sex
Male
Sole Proprietor
No
Certification Date
April 26, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X), Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)