Individual
VIJAY K KOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BAYSHORE BLVD, SUITE 270, PASADENA, TX 77504-1988
(713) 947-9509
(713) 947-6286
Mailing address
8876 GULF FREEWAY, SUITE 215, HOUSTON, TX 77017-6650
(713) 947-1001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M0132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188711901
—
TX
05
—
188711902
—
TX
Enumeration date
06/07/2007
Last updated
03/23/2012
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