Basic Information
Provider Information
NPI: 1326370289
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOKOL
FirstName: DRAHOSLAV
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1611/1 LIPOVA
Address2:  
City: CESKE BUDEJOVICE
State: CZECH REPUBLIC
PostalCode: 37005
CountryCode: CZ
TelephoneNumber: 00420776384915
FaxNumber:  
Practice Location
Address1: 550 17TH AVE
Address2: SUITE 500
City: SEATTLE
State: WA
PostalCode: 981225788
CountryCode: US
TelephoneNumber: 2063202800
FaxNumber: 2063202827
Other Information
ProviderEnumerationDate: 02/03/2010
LastUpdateDate: 02/03/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XFE60126623WAY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


Home