Individual
SHIVA KUMAR KOTTURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37 W CENTURY RD STE 111, PARAMUS, NJ 07652-1466
(201) 262-2244
(201) 262-2246
Mailing address
133 CHRISTIE ST, EDISON, NJ 08820-3749
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MA59794
NJ
Other
Enumeration date
10/07/2008
Last updated
03/30/2015
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