Individual
KETAN HASHMUKH KOTHARI
Active
Individual
KETAN HASHMUKH KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC004645L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018311680001
—
PA
01
—
246839
FIRST HEALTH
PA
01
—
30004716
KEYSTONE MERCY
PA
01
—
3075350
AETNA
PA
01
—
480032950
RAIL ROAD MEDICARE
—
01
—
K0830767
BLUE SHIELD
PA
01
—
U81914
UNITED
—
01
—
U8914
HEALTH PARTNERS
—
Enumeration date
12/13/2006
Last updated
07/04/2010
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