| Kiran U. Koka, M.d. - A Professional Corp | |
|
49 Quail Ct Suite # 209 Walnut Creek CA 94596-5550 | |
| (925) 674-4191 | |
| (925) 686-0247 |
| Full Name | Kiran U. Koka, M.d. - A Professional Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 49 Quail Ct, Walnut Creek, California |
| Authorized Official Name and Position | Kiran U. Koka (PRESIDENT) |
| Authorized Official Contact | 9259348153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiran U. Koka, M.d. - A Professional Corp 604 Timberleaf Ct Walnut Creek CA 94598-5406 Ph: (925) 256-1486 | Kiran U. Koka, M.d. - A Professional Corp 49 Quail Ct Suite # 209 Walnut Creek CA 94596-5550 Ph: (925) 674-4191 |
| NPI Number | 1679598338 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679598338 | NPI | - | NPPES |
| A46218 | Other | CA | PHYSICIAN AND SURGEON |
| 00A46218 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A46218 (California) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A46218 (California) | Primary |
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