Individual
KOTAGAL SHASHI KANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 PIEDMONT AVE, STE 6000, CINCINNATI, OH 45219-4231
(513) 475-8524
(513) 475-7327
Mailing address
2830 VICTORY PKWY, STE 310, CINCINNATI, OH 45206-3700
(513) 245-3444
(513) 245-3449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-039100
OH
207RN0300X
Nephrology Physician
Primary
35-039100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318383
—
OH
05
—
64739873
—
KY
Enumeration date
04/21/2006
Last updated
03/21/2008
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