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Organization
PLATINUM DIRECT CARE INC
Active
Organization
PLATINUM DIRECT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEMMAL S KOTHARY MD (CEO)
(661) 716-9410
Entity
Organization
Contact information
Practice address
12404 SOUTHWORTH CT, BAKERSFIELD, CA 93311-8506
(661) 716-9410
(661) 716-2613
Mailing address
12404 SOUTHWORTH CT, BAKERSFIELD, CA 93311-8506
(661) 716-2613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A55008
CA
207R00000X
Internal Medicine Physician
Primary
A76603
CA
Other
Enumeration date
01/20/2010
Last updated
03/07/2010
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