# CHANDRASEKHAR KOTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689622714
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 35.064554 | OH | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD426736 | PA | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 07/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000736969 | ANTHEM | OH |
| 01 | — | 000000737001 | ANTHEM | OH |
| 01 | — | 003359380 | HIGHMARK BLUE CROSS BLUE SHIELD | PA |
| 05 | — | 0055992 | — | OH |
| 05 | — | 1013266190002 | — | PA |
| 05 | — | 3810021787 | — | WV |
| 01 | — | P01667340 | RAILROAD MEDICARE | PA |