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Individual
DR. SHAWN KOTHARI
Active
Individual
DR. SHAWN KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125068590
IL
207RH0000X
Hematology (Internal Medicine) Physician
91582
GA
207RH0003X
Hematology & Oncology Physician
036169066
IL
Other
Enumeration date
06/01/2016
Last updated
04/03/2024
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