Individual
VIJAYA N. KOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2111 SW 20TH PL, OCALA, FL 34471-7734
(352) 622-4251
(352) 622-0102
Mailing address
2111 SW 20TH PL, OCALA, FL 34471
(352) 622-4251
(352) 622-0102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME78160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269021700
—
FL
01
—
46498
MEDICARE ID
—
01
—
46498Y
MEDICARE
FL
Enumeration date
12/05/2005
Last updated
03/24/2016
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