Individual
MS. RUDRANI KOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13995 W STATLER BLVD UNIT 200, SUPRISE, AZ 85374
(602) 478-3100
Mailing address
13995 W STATLER BLVD UNIT 200, SUPRISE, AZ 85374
(602) 478-3100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
08/21/2025
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