# SANKARA RAO KOTHAKOTA, M.D., P.A.

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

## Provider details

- **NPI number:** 1760741227
- **Authorized official:** SANKARA RAO KOTHAKOTA M.D. (DOCTOR)
- **Authorized official phone:** (301) 864-7600

## Contact information

- **Practice address:** 5632 ANNAPOLIS RD, SUITE 1, BLADENSBURG, MD 20710-2213
- **Practice address phone:** (301) 864-7600
- **Practice address fax:** (301) 864-6245
- **Mailing address:** 5632 ANNAPOLIS RD, SUITE 1, BLADENSBURG, MD 20710-2213
- **Mailing address phone:** (301) 864-7600
- **Mailing address fax:** (301) 864-6245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | D0024019 | MD | Yes |

## Other

- **Enumeration date:** 05/03/2012
- **Last updated:** 05/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 792641300 | — | MD |
