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Individual

KUNAL K KOTHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
255479
MA
2085R0202X
Diagnostic Radiology Physician
Primary
0101267099
VA
2085R0202X
Diagnostic Radiology Physician
036.145292
IL
2085R0202X
Diagnostic Radiology Physician
255479
MA
2085R0202X
Diagnostic Radiology Physician
277485
NY
2085R0202X
Diagnostic Radiology Physician
D0088744
MD

Other

Enumeration date
05/31/2013
Last updated
02/04/2022
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