# MEDICAL ASSOCIATES OF SOUTHERN NEVADA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023318177
- **Authorized official:** DR. GOVIND VENKATA KOKA DO (PRESIDENT)
- **Authorized official phone:** (702) 492-7208

## Contact information

- **Practice address:** 9975 S EASTERN AVE, 110A, LAS VEGAS, NV 89183-7949
- **Practice address phone:** (702) 492-7208
- **Practice address fax:** (702) 407-5645
- **Mailing address:** PO BOX 778195, HENDERSON, NV 89077-8195
- **Mailing address phone:** (702) 492-7208
- **Mailing address fax:** (702) 407-5645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 1001 | NV | Yes |

## Other

- **Enumeration date:** 10/22/2010
- **Last updated:** 10/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NV1001 | DO LICENSE NV1001 | NV |