Individual
DR. SOOR NILESH KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, GENERAL MEDICINE CLINIC MC8021 OUTPATIENT PAVILION 2E, FARMINGTON, CT 06030-1234
(860) 679-4272
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1234
(860) 679-4272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD046629
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2015
Last updated
03/15/2023
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