Individual
MR. VIJAYASIMHA KOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 KING STREET, OGDENSBURG, NY 13669
(315) 393-1144
(315) 393-1476
Mailing address
P.O. BOX 156, 312 KING STREET, OGDENSBURG, NY 13669-1195
(315) 393-1144
(315) 393-1476
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1140931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00500587
—
NY
Enumeration date
11/08/2006
Last updated
01/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us