Individual
DR. MAHESH B KOTTAPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 BOLTON BOONE DR, 109, DESOTO, TX 75115-2019
(972) 283-2370
(972) 296-0311
Mailing address
2727 BOLTON BOONE DR, 109, DESOTO, TX 75115-2019
(972) 283-2370
(972) 296-0311
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
M1846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177764101
—
TX
05
—
177764102
—
TX
Enumeration date
07/24/2006
Last updated
02/18/2013
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