Individual
AJEET KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20800 WESTGATE MALL, #206, CLEVELAND, OH 44126-1323
(440) 331-4666
Mailing address
20800 WESTGATE MALL, #206, CLEVELAND, OH 44126-1323
(440) 331-4666
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-047000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000275172
ANTHEM
OH
05
—
0526274
—
OH
Enumeration date
05/16/2006
Last updated
07/08/2007
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