Provider Demographics
NPI:1851616643
Name:KOKA, MADHURIMA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MADHURIMA
Middle Name:
Last Name:KOKA
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:RIMA
Other - Middle Name:M
Other - Last Name:KOKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:22 S GREENE ST
Mailing Address - Street 2:UNIVERSITY OF MARYLAND DEPT OF PATHOLOGY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1544
Mailing Address - Country:US
Mailing Address - Phone:510-410-2574
Mailing Address - Fax:
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:UNIVERSITY OF MARYLAND DEPT OF PATHOLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:510-410-2574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD77092207ZP0101X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology