Provider Demographics
NPI:1235456476
Name:ZYGOURAKIS, CORINNA CLIO (MD)
Entity type:Individual
Prefix:
First Name:CORINNA
Middle Name:CLIO
Last Name:ZYGOURAKIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CORINNA
Other - Middle Name:CLIO
Other - Last Name:MARKENSCOFF-ZYGOURAKIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-2203
Mailing Address - Country:US
Mailing Address - Phone:650-723-4000
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2203
Practice Address - Country:US
Practice Address - Phone:650-723-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD82702207T00000X, 207T00000X
CAA124015207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery