Organization
PUNITA P KOTHARI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUNITA P KOTHARI M.D. (OWNER)
(419) 448-4553
Entity
Organization
Contact information
Practice address
485 W MARKET ST, TIFFIN, OH 44883-2611
(419) 448-4553
(419) 448-4553
Mailing address
485 W MARKET ST, TIFFIN, OH 44883-2611
(419) 448-4553
(419) 448-4553
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0767371
—
OH
Enumeration date
04/29/2008
Last updated
04/29/2008
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