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Individual

DR. RAMA KOTESWARARAO KOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1300 N 4TH ST, LONGVIEW, TX 75601-4717
(903) 757-2122
(903) 757-9475
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L1097
TX
207RX0202X
Medical Oncology Physician
L1097
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40593801
TX
01
40593802
CSHCN
05
40593804
TX
05
40593805
TX
01
8R1490
BLUE CROSS OF TX
TX
Enumeration date
06/04/2006
Last updated
09/08/2025
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