MEDICARE: GOVIND V KOKA DO

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	207Q00000X	Family Medicine Physician	1001	NV

General Provider Information

NPI Number	:	1942322466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GOVIND V KOKA DO

Provider Business Mailing Address
First Line	:	9975 S EASTERN AVE STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7950
Country	:	US
Telephone Number	:	702-858-6260
Fax Number	:	888-703-3453

Provider Business Practice Location Address
First Line	:	9975 S EASTERN AVE STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7950
Country	:	US
Telephone Number	:	702-858-6260
Fax Number	:	888-703-3453

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

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	02/09/2024

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Directions to “ GOVIND V KOKA DO” Practice Location

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