Organization
KIRIT K KOTHARI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRIT K KOTHARI MD (MD PRESIDENT KIRIT K KOTHARI MD PC)
(570) 992-1234
Entity
Organization
Contact information
Practice address
ROUTE 115 & SWITZGABLE ROAD, BRODHEADSVILLE, PA 18322
(570) 992-1234
(570) 992-8610
Mailing address
PO BOX 637, BRODHEADSVILLE, PA 18322
(570) 992-1234
(570) 992-8610
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
MD058095L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A01601248
—
PA
Enumeration date
03/29/2007
Last updated
07/07/2008
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