Individual
RAVISH ASHOKKUMAR KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 MED PARK STE 420, NEUROLOGY, COLUMBIA, SC 29203
(803) 545-6072
(803) 545-6051
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 434-6412
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
35909
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359098
—
SC
Enumeration date
06/25/2013
Last updated
03/10/2025
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