Individual
KOPAL SURESHBHAI KOTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W UNIVERSITY DR, ROCHESTER HILLS, MI 48307-1863
(248) 601-4805
Mailing address
418 TIMBERLEA DR APT 52, ROCHESTER HILLS, MI 48309-2646
(248) 568-2724
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351053257
MI
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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