Dr. Darwin Martin Koller
M.D. | Pediatric Emergency Medicine | Male
Dr. Darwin Martin Koller, M.D. is a Chattanooga, Tennessee based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Darwin Martin Koller is
910 Blackford St, Chattanooga, Tennessee - 37403-1405. He can be contacted on phone at
423-778-6011 and fax number 865-539-8008.
Dr. Darwin Martin Koller is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Darwin Martin Koller is
1568495638 which was assigned by NPPES on 09 Jul, 2006 and it was last updated on 21 Nov, 2007.
Dr. Darwin Martin Koller license number is
MD39891 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Tennessee.
Dr. Darwin Martin Koller has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Darwin Martin Koller basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Darwin Martin Koller |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Darwin Martin Koller address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 910 Blackford St
Chattanooga, TN, 37403-1405
United States |
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| Phone Number : | 423-778-6011 |
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| Fax Number : | 865-539-8008 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568495638 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jul, 2006 |
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| Last Updated On : | 21 Nov, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Darwin Martin Koller are as mentioned. Primary taxonomy code for Dr. Darwin Martin Koller, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD39891 | TN |
| 207P00000X | Emergency Medicine | No | 39891 | TN |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD39891 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Darwin Martin Koller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 4110137 | Other | TN | BLUE CROSS |
| 3333990 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 633819
Cincinnati, OH, 45263-0001
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Darwin Martin Koller practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.