Mark W Koukkari
Medical Specialty
Professional ID
- NPI: 1750479929
- PECOS ID: 7315078177
- Enrollment ID: I20100623000699
- Credential(MD, DO, DPM):
- Medical School: University Of Minnesota Medical School
- Medical School Graduation Year: 1990
Medical Practices
- Organization Name: Sutter Bay Medical Foundation
- Group Practice ID assigned by PECOS: 4284538778
- Number of Group Practice member: 2407
Location
- Address1: 370 Distel Cir
- Address2:
- City: Los Altos
- State: California
- Zip Code: 94022
- Phone Number: (650)254-5200
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):