# AJOY KOTWAL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639427396
- **Authorized official:** DR. AJOY KOTWAL MD (OWNER)
- **Authorized official phone:** (813) 874-1404

## Contact information

- **Practice address:** 3102 W CYPRESS ST, SUITE B, TAMPA, FL 33607-5118
- **Practice address phone:** (813) 874-1404
- **Practice address fax:** (813) 874-9305
- **Mailing address:** 3102 W CYPRESS ST, SUITE B, TAMPA, FL 33607-5118
- **Mailing address phone:** (813) 874-1404
- **Mailing address fax:** (813) 874-9305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME0065983 | FL | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012