MONTRA M KANOK MD NPI 1003865593

NPI Information

NPI: 1003865593
Provider Name: MONTRA M KANOK, MD
Classification: Otolaryngology - 207YX0905X
Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
1030 E FOOTHILL BLVD
STE 101
UPLAND, CA
ZIP 91786
Phone: (909) 981-5859
Get Directions

Montra M Kanok, MD is an otolaryngology/facial plastic surgery otolaryngology in Upland, CA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Montra M Kanok, MD NPI is 1003865593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1030 E FOOTHILL BLVD
STE 101
UPLAND, CA
ZIP 91786
Phone: (909) 981-5859
Fax: (909) 981-8293

The enumeration date for this NPI number is 5/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	A25649	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AK7756628	OTHER	CALIFORNIA	DEA
2	00A256490	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	A24519	MEDICARE UPIN
4	00A256490	MEDICAID	CALIFORNIA
5	A25649	OTHER	CALIFORNIA	LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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