Koka, Nandini
Koka, Nandini is an individual health care provider with primary practice located at 180 Maple Ave W , Vienna VA 22180-5727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Koka, Nandini can be contacted via phone (571) 363-3539.Contact Information
Primary practice address
180 Maple Ave W
Vienna VA 22180-5727
Phone: (571) 363-3539
Fax: (571) 363-3540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101245780 | Virginia |
Profile Details
| NPI number | 1982602777 |
|---|---|
| LBN Legal business name | Koka, Nandini |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Nov 15th, 2022 - about 4 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 | 1982602777 | NPPES |
| Virginia | MEDICAID | 100503587 |
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