Individual
DR. NANDINI KOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 MAPLE AVE W, VIENNA, VA 22180-5727
(571) 363-3539
(571) 363-3540
Mailing address
180 MAPLE AVE W, VIENNA, VA 22180-5727
(571) 363-3539
(571) 363-3540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101245780
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503587
—
VA
Enumeration date
07/14/2005
Last updated
11/15/2022
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