National Provider Identifier
Alexander Koukhtaroff, D.O.
Alexander Koukhtaroff, D.O. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-4226.
Profile Overview
- NPI
- 1366709933
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 19, 2012
- Last Updated
- April 19, 2012
Practice Location
- 462 Grider Street
- University At Buffalo Im Residency Training Program
- Buffalo, NY 14215-3098
Phone: (716) 898-4226
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1366709933
- Entity Type
- Individual
- Last Name
- Koukhtaroff
- First Name
- Alexander
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 462 Grider Street
- Mailing Address Line 2
- University At Buffalo Im Residency Training Program
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3098
- Mailing Country
- US
- Mailing Phone
- (716) 898-4226
- Mailing Fax
- (716) 898-3279
- Practice Street Address
- 462 Grider Street
- Practice Address Line 2
- University At Buffalo Im Residency Training Program
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3098
- Practice Country
- US
- Practice Phone
- (716) 898-4226
- Practice Fax
- (716) 898-3279
- Enumeration Date
- April 19, 2012
- Last Updated
- April 19, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)