Individual
NILANJANA KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10440 E RIGGS RD STE 160, SUN LAKES, AZ 85248-7757
(480) 895-2049
Mailing address
4530 E MUIRWOOD DR STE 105, PHOENIX, AZ 85048-7693
(480) 961-2303
(480) 961-2306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-37235
KS
207R00000X
Internal Medicine Physician
Primary
53629
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303825
—
AZ
Enumeration date
04/26/2012
Last updated
07/16/2020
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