Individual
AMOLI ANAND KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1319 NEW GARDEN RD, GREENSBORO, NC 27410-2722
(336) 716-9622
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16028
NC
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
03/09/2026
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