DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEO ISRAEL KOROTKI, M.D.

Deactivated Sole Proprietor

LEO ISRAEL KOROTKI, M.D. is a Pain Medicine (PM&R) healthcare provider located in LUTHERVILLE, Maryland. NPI 1710984232 is deactivated in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · LUTHERVILLE, MD

This NPI has been deactivated. The record was deactivated on March 17, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1710984232
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2005 (0.71232876712329 yrs)
Last Updated
Feb 17, 2016
Deactivated
Mar 17, 2006
License
D0024017 (MD)
Sole Proprietor
Yes

Practice Information

Address
1205 YORK RD
SUITE 22
LUTHERVILLE, MD, 210936210
Browse MD providers · Browse ZIP 21093
Phone
4108239333
Fax
4108239335
Primary Specialty
Pain Medicine (PM&R)
2081P2900X

Other Pain Medicine (PM&R) Providers in LUTHERVILLE, MD

Name Credential NPI
DAVID KERWIN JACOBS MD 1093178386
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.