Individual
VANI KOTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1615 HOSPITAL PKWY STE 202, BEDFORD, TX 76022-5935
(817) 786-8686
(866) 869-0489
Mailing address
1615 HOSPITAL PKWY STE 202, BEDFORD, TX 76022-5935
(817) 786-8686
(866) 869-0489
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M6242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186267402
—
TX
Enumeration date
05/14/2007
Last updated
10/17/2020
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