Individual
SORABH KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
Mailing address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036147652
IL
207RC0000X
Cardiovascular Disease Physician
036147652
IL
207RC0000X
Cardiovascular Disease Physician
Primary
98548
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2016
Last updated
03/12/2024
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