MEDICARE: RAMESH KOKA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	ME97934	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00471658	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	408864	OTHER	FL	STAWELL
2	7343962	OTHER	FL	AETNA
3	2445364	OTHER	FL	CIGNA
4	0166014	OTHER	FL	GHI
5	1528185162	OTHER	FL	TRICARE
7	2802918	OTHER	FL	UNITED HEALTH CARE
8	90403	OTHER	FL	BCBS
9	310639	OTHER	GA	AVMED
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528185162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMESH KOKA M.D.

Provider Business Mailing Address
First Line	:	4790 BARKLEY CIR BLDG A
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7543
Country	:	US
Telephone Number	:	239-275-8882
Fax Number	:	239-939-1330

Provider Business Practice Location Address
First Line	:	4790 BARKLEY CIR BLDG A
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7543
Country	:	US
Telephone Number	:	239-275-8882
Fax Number	:	239-939-1330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	11/27/2023

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Directions to “ RAMESH KOKA M.D.” Practice Location

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