Individual
DR. ALOK K KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0920
(602) 933-2492
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(602) 933-8972
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012009376
MO
2080P0207X
Pediatric Hematology & Oncology Physician
2012009376
MO
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
61431
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
06/30/2011
Last updated
12/10/2020
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