Provider Demographics
NPI:1992775951
Name:SANKOORIKAL, JOSEPH G (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:SANKOORIKAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4372
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-0372
Mailing Address - Country:US
Mailing Address - Phone:785-357-6300
Mailing Address - Fax:785-357-6324
Practice Address - Street 1:3740 SW SPRINGCREEK LN
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66610-1221
Practice Address - Country:US
Practice Address - Phone:785-221-4930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-23422208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100124180BMedicaid
KS100124180BMedicaid
KSE68686Medicare UPIN