Sreenivas Koka, DDS is a
Dentist - Prosthodontics based in Leland, Mississippi. Sreenivas Koka is licensed to practice in California (license number 63470) and his current practice location is
201 Baker Blvd, Leland, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 686-4121.
NPI number for Sreenivas Koka is 1699753319 and his current mailing address is 201 Baker Blvd, Leland, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699753319.
Healthcare Provider's Profile
Full Name | Sreenivas Koka |
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Gender | Male |
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Speciality | Dentist - Prosthodontics |
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Location | 201 Baker Blvd, Leland, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699753319
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 11/05/2024
Medical Identifiers
Medical identifiers for Sreenivas Koka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699753319 | NPI | - | NPPES |
587433500 | Medicaid | MN | |
33828500 | Medicaid | WI | |
P00918769 | Other | MN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0700X | Dentist - Prosthodontics | 63470 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sreenivas Koka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sreenivas Koka, DDS 201 Baker Blvd, Leland, MS 38756-3401 Ph: (662) 686-4121 | Sreenivas Koka, DDS 201 Baker Blvd, Leland, MS 38756-3401 Ph: (662) 686-4121 |
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