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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538153549 NPPES
California MEDICAID 00A537410

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