National Provider Identifier

Emi A Koda, DO

Emi A Koda, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Orchard Park, NY and a listed phone number of (716) 972-0279.

NPI 1619256021Orchard Park, NYFamily Medicine Physician

Profile Overview

NPI
1619256021
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
August 16, 2011
Last Updated
February 21, 2019

Practice Location

  • 3675 Southwestern Boulevard
  • Orchard Park, NY 14127

Phone: (716) 972-0279

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1619256021
Entity Type
Individual
Last Name
Koda
First Name
Emi
Middle Name
A
Credential
DO
Mailing Street Address
3675 Southwestern Boulevard
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127
Mailing Country
US
Mailing Phone
(716) 972-0279
Mailing Fax
(716) 972-0273
Practice Street Address
3675 Southwestern Boulevard
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127
Practice Country
US
Practice Phone
(716) 972-0279
Practice Fax
(360) 493-5524
Enumeration Date
August 16, 2011
Last Updated
February 21, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)