Organization
KIRAN U. KOKA, M.D. - A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN U. KOKA M.D. (PRESIDENT)
(925) 934-8153
Entity
Organization
Contact information
Practice address
49 QUAIL CT, SUITE # 209, WALNUT CREEK, CA 94596-5550
(925) 674-4191
(925) 686-0247
Mailing address
604 TIMBERLEAF CT, WALNUT CREEK, CA 94598-5406
(925) 256-1486
(925) 256-1486
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A46218
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A46218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A46218
—
CA
01
—
A46218
PHYSICIAN AND SURGEON
CA
Enumeration date
07/13/2006
Last updated
03/07/2023
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