Individual
SUCHITA KOTNALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
737 BROADWAY NORTH, FARGO, ND 58122
(701) 234-6076
(701) 234-7230
Mailing address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 242-8450
(541) 242-8335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD201918
OR
207Q00000X
Family Medicine Physician
RL15129
ND
Other
Enumeration date
06/13/2018
Last updated
08/09/2021
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