Koka, Sreenivas

Koka, Sreenivas is an individual health care provider with primary practice located at 8031 Linda Vista Rd Suite 210, San Diego CA 92111-5110. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Koka, Sreenivas can be contacted via phone (858) 268-5020.

Contact Information

Primary practice address
8031 Linda Vista Rd Suite 210 San Diego CA 92111-5110
Phone: (858) 268-5020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 63470 California

Profile Details

NPI number 1699753319
LBN Legal business name Koka, Sreenivas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Feb 19th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699753319 NPPES
Minnesota MEDICAID 587433500
Minnesota MEDICAID 33828500
Minnesota Other P00918769

Popular Providers