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Organization
KAVITHA KOTRAPPA M D INC
Active
Organization
KAVITHA KOTRAPPA M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVITHA S KOTRAPPA M D (CEO)
(909) 392-1454
Entity
Organization
Contact information
Practice address
150 W FOOTHILL BLVD, SAN DIMAS, CA 91773-1102
(909) 599-9921
Mailing address
2396 NORTHVIEW CIR, LA VERNE, CA 91750-1752
(909) 392-1454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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