Individual
SELASIE GOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF NEPHROLOGY, PHILADELPHIA, PA 19104
(267) 425-3940
Mailing address
6 GARDEN OF EDEN ROAD, APT 201, WILMINGTON, DE 19803
(617) 966-1051
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MT206032
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2014
Last updated
06/06/2017
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