Individual provider · Type 1 NPI

Jeanne Kochkodan-Self, MD

Diagnostic Radiology Physician · Ann Arbor, MI

NPI number 1669036307 Active

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Call (734) 936-4000 Map

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Other practice locations

  • 2014 Washington St, Newton, MA 02462-1699 · (617) 243-6467

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X4301511184 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1669036307

Jeanne Kochkodan-Self, MD's National Provider Identifier is 1669036307, issued on Apr 29, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ann Arbor, MI. The record was last updated on Jul 22, 2024.