Andrew Koren, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

208624 Issued in NY

Practice address

3801 Miranda Ave
VA Palo Alto Healthcare System
Palo Alto, CA 94304

Phone

(650) 493-5000

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972676872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W EL CAMINO REAL",
            "address_2": "APARTMENT 412",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404720",
            "telephone_number": "650-384-8725",
            "fax_number": "650-384-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "VA PALO ALTO HEALTHCARE SYSTEM",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "208624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Koo, AUD
• Heather Marie Koper, OTR/L
• Sara Sienna Kopit-Olson
• Danielle Kopplin, AUD
• Rajashree Koppolu, C.P.N.P
• Lital Koropitzer, PSYD
• Liana Joy Korotzer
• Nicole Christine Korpontinos, MFT
• Morgan Kailey Kosar, DNP, CPNP-AC
• Ruby E. Koshy, M.D.

• Nephrology Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.