Individual
PURNIMA A KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
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
35-044273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380518
ANTHEM
—
05
—
0457527
—
OH
Enumeration date
08/24/2006
Last updated
12/16/2011
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