Stanka Kukich, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101031785 Issued in VA

Practice address

403 Council Dr NE
Vienna, VA 22180-4740

Phone

(703) 255-9513

NPI assigned

Apr 3, 2013

Last updated

Apr 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1154664522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 COUNCIL DR. NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "703-255-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 COUNCIL DR NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804740",
            "telephone_number": "703-255-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKICH",
        "first_name": "STANKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101031785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Rea Black Kratovil, M.D.
• Virginia D Krause, FNP-BC
• Lauren Elaine Bender Kuester, OD
• Sally Kugler, PH.D.
• Leah Marie Kujawski, DNP, FNP-BC
• Sara Kulangara, M.D.
• Uma Kumarappan, M.D.
• Felix Kung, MD
• Michael D Kuzmik, DDS
• David Kweon, RBT

• Internal Medicine Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.