Basic Information
Provider Information
NPI: 1912188426
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOKHN
FirstName: JOSEPH
MiddleName: G.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: YALE SCHOOL OF MEDICINE, 333 CEDAR STREET
Address2: ROOM WWW 211
City: NEW HAVEN
State: CT
PostalCode: 065208032
CountryCode: US
TelephoneNumber: 2037855196
FaxNumber:  
Practice Location
Address1: 232 S WOODS MILL RD STE 330E
Address2:  
City: CHESTERFIELD
State: MO
PostalCode: 630173467
CountryCode: US
TelephoneNumber: 3142056737
FaxNumber: 3145762378
Other Information
ProviderEnumerationDate: 11/27/2007
LastUpdateDate: 09/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X049484CTN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X049484CTN Allopathic & Osteopathic PhysiciansHospitalist 
207RH0003X2017015245MOY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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