Selasie Goka

MD | Pediatric Nephrology | Female

---

Complete Profile:

Selasie Goka basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Selasie Goka
Credential :	MD
Gender :	Female

Business Address:

Selasie Goka address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3401 Civic Center Blvd, Division Of Nephrology Philadelphia, PA, 19104 United States
Phone Number :	267-425-3940

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1306257878
NPI Entity Type :	Individual
First Enrolment Date :	18 May, 2014
Last Updated On :	06 Jun, 2017

Medicare Participation:

Selasie Goka participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5991929002
Medicare Enrollment ID :	I20200824001010
Primary Specialty :	Nephrology
Medical School :	Jefferson Medical College Of Thomas Jefferson University
Graduation Year :	2014
Accepts Medicare?	Yes. Selasie Goka accepts medicare insurance.

Group Practice Association:

Selasie Goka is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Selasie Goka is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Health Care Associates Inc	1355253527	172	3401 Civic Ctr Blvd Philadelphia, PA - 191044319 Ph: 2155901000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Selasie Goka are as mentioned. Primary taxonomy code for Selasie Goka, MD is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	MT206032	PA
390200000X	Student in an Organized Health Care Education/Training Program	No

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	6 Garden Of Eden Road, Apt 201 Wilmington, DE, 19803 United States
Phone Number :	617-966-1051

Business Location:

Patients can refer following map for directions to Selasie Goka practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.