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Organization
KOTA CANCER CLINIC PLLC
Active
Organization
KOTA CANCER CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJUSHA KOTA MD (PHYSICIAN)
(501) 463-5700
Entity
Organization
Contact information
Practice address
180 MEDICAL PARK PL, SUITE 201, HOT SPRINGS, AR 71901-8065
(501) 463-5700
(501) 463-5710
Mailing address
180 MEDICAL PARK PL, SUITE 201, HOT SPRINGS, AR 71901-8065
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
12/11/2015
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