Individual
RUPAL KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
325 CENTRAL AVE, 2ND FLOOR, MALVERN, PA 19355-3265
(610) 644-6755
(610) 647-2063
Mailing address
PO BOX 350, SELLERSVILLE, PA 18960-0350
(215) 723-2333
(215) 723-9112
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS009881-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019723080002
—
PA
01
—
100017249
RAILROAD MEDICARE
PA
Enumeration date
02/28/2006
Last updated
08/05/2009
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