Koka, Anuradha
Koka, Anuradha is an individual health care provider with primary practice located at 4044 Fifth Ave , San Diego CA 92103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Koka, Anuradha can be contacted via phone (619) 452-7350.Contact Information
Primary practice address
4044 Fifth Ave
San Diego CA 92103
Phone: (619) 452-7350
Fax: (619) 849-1547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | A53741 | California |
Profile Details
| NPI number | 1538153549 |
|---|---|
| LBN Legal business name | Koka, Anuradha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Dec 7th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538153549 | NPPES |
| California | MEDICAID | 00A537410 |
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