Individual
JITEN P KOTHADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 UNION AVENUE 4 SHORB TOWER, MEMPHIS, TN 38104-4418
(901) 478-9183
(901) 478-8957
Mailing address
P O BOX 1000 DEPT 457, MEMPHIS, TN 38148-0001
(901) 478-9183
(901) 478-8957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59366
TN
207RT0003X
Transplant Hepatology Physician
Primary
59366
TN
Other
Enumeration date
11/14/2014
Last updated
08/01/2019
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