IndividualActive
Eric Koga
NPI 1730748401 · Podiatrist · Albuquerque, NM
Provider details
- NPI number
- 1730748401
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- NA (NM)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1501 San Pedro Dr Se
Albuquerque, NM 87108-5153
Phone: (505) 265-1711
Approximate (ZIP-level) locationGet directions
Mailing address
4900 Roselin Way
Elk Grove, CA 95758-4145
Registry dates
- Enumerated
- 2019-06-06
- Last updated
- 2019-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.