Provider Demographics
NPI:1528185162
Name:KOKA, RAMESH (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:
Last Name:KOKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4790 BARKLEY CIR BLDG A
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7543
Mailing Address - Country:US
Mailing Address - Phone:239-275-8882
Mailing Address - Fax:239-939-1330
Practice Address - Street 1:4790 BARKLEY CIR BLDG A
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7543
Practice Address - Country:US
Practice Address - Phone:239-275-8882
Practice Address - Fax:239-939-1330
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME97934207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL408864OtherSTAWELL
FL7343962OtherAETNA
FL2445364OtherCIGNA
FL0166014OtherGHI
FL1528185162OtherTRICARE
FLP00471658OtherRAILROAD MEDICARE
FL2802918OtherUNITED HEALTH CARE
FL90403OtherBCBS
GA310639OtherAVMED
FL278554400Medicaid
FLP00471658OtherRAILROAD MEDICARE