Provider Demographics
NPI:1447261995
Name:JOST-VU, ELKE (MD)
Entity type:Individual
Prefix:
First Name:ELKE
Middle Name:
Last Name:JOST-VU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-321-5257
Mailing Address - Fax:760-773-1631
Practice Address - Street 1:39000 BOB HOPE DR STE K-114
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-321-5257
Practice Address - Fax:760-773-1631
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44759207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A447590Medicare ID - Type Unspecified
E96798Medicare UPIN