Individual
AMY KOTECHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 FAIRFAX DR, SUITE 74, ARLINGTON, VA 22203-1762
(703) 528-3910
(703) 528-4367
Mailing address
3801 FAIRFAX DR STE 74, ARLINGTON, VA 22203-1762
(703) 528-3910
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101243040
VA
207W00000X
Ophthalmology Physician
Primary
25MA07695200
NJ
207W00000X
Ophthalmology Physician
NY220571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027049
—
NJ
05
—
02444993
—
NY
05
—
1326019241
—
VA
Enumeration date
01/30/2006
Last updated
04/28/2008
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