Provider Demographics
NPI:1740236124
Name:KOKA, ANISH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANISH
Middle Name:
Last Name:KOKA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:125 S. 9TH STREET SHERIDAN BLD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5752
Mailing Address - Country:US
Mailing Address - Phone:215-733-0702
Mailing Address - Fax:215-987-5891
Practice Address - Street 1:125 S. 9TH STREET SHERIDAN BLD
Practice Address - Street 2:SUITE 105
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5752
Practice Address - Country:US
Practice Address - Phone:215-733-0702
Practice Address - Fax:215-987-5891
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD428342207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease