Individual
DR. RUPA KOTHANDAPANI KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 930-0115
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27311
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057610
MEDICARE PTAN
AL
05
—
009940369
—
AL
01
—
0366100001
CIGNA GOVERNMENT SVC
AL
01
—
0366100001
MC NSC
—
Enumeration date
08/12/2005
Last updated
11/24/2014
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