# KOTHAPALLI & KOTHAPALLI LTD, APMC

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

## Provider details

- **NPI number:** 1922148113
- **Authorized official:** DR. SHANKARAIAH KOTHAPALLI M.D., (PHYSICIAN)
- **Authorized official phone:** (337) 266-5592

## Contact information

- **Practice address:** 134 HOSPITAL DR, SUITE A, LAFAYETTE, LA 70503-2819
- **Practice address phone:** (337) 266-5592
- **Practice address fax:** (337) 266-5594
- **Mailing address:** 134 HOSPITAL DR, SUITE A, LAFAYETTE, LA 70503-2819
- **Mailing address phone:** (337) 266-5592
- **Mailing address fax:** (337) 266-5594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 10035R | LA | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 03/08/2016