Individual
DR. ASHOKKUMAR J KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2223 W STATE ST, SUITE 120, OLEAN, NY 14760-1938
(716) 373-3544
(716) 373-3546
Mailing address
2223 W STATE ST, SUITE 120, OLEAN, NY 14760-1938
(716) 373-3544
(716) 373-3546
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
NY149078-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000056493
KEYSTONE BLUE
NY
01
—
00010094201
UNIVERA
NY
01
—
000500369001
BLUE CROSS NY
NY
01
—
003691
MEDICARE-ID
NY
05
—
00828313
—
NY
01
—
2103703
INDEPENDENT HEALTH
NY
01
—
99007201
RR MEDICARE PIN
—
Enumeration date
07/20/2005
Last updated
10/26/2010
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