Individual
PRACHI DILIP KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
550 S GODDARD BLVD FL 2, KING OF PRUSSIA, PA 19406-2922
(267) 425-3320
Mailing address
339 N BROAD ST APT 2404, PHILADELPHIA, PA 19107-1021
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
278862-1
NY
208000000X
Pediatrics Physician
OS022016
PA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
OS022016
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2011
Last updated
09/30/2022
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