Individual
SRINIVAS KOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105-4656
(704) 384-9740
(704) 384-9565
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9740
(704) 384-9565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01049606A
IN
207R00000X
Internal Medicine Physician
MD0000039260
TN
208M00000X
Hospitalist Physician
Primary
2015-01445
NC
Other
Enumeration date
08/25/2006
Last updated
10/28/2020
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