Individual
KAVITHA KOSURI
Active
Individual
KAVITHA KOSURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
34008023
OH
207RX0202X
Medical Oncology Physician
Primary
R6A19
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215981766
—
MO
05
—
26597070
—
OH
01
—
P01351475
RAILROAD MEDICARE
MO
Enumeration date
05/20/2006
Last updated
04/29/2015
Update your record
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