Individual
ARUN JOSE KOTTARATHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 LIMESTONE RD, WILMINGTON, DE 19808-5553
(302) 355-2383
Mailing address
2006 LIMESTONE RD, WILMINGTON, DE 19808-5553
(302) 355-2383
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
1676-320
WI
207RN0300X
Nephrology Physician
Primary
4301113282
MI
207RN0300X
Nephrology Physician
MD61151370
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100193040
—
WI
Enumeration date
01/26/2015
Last updated
01/19/2024
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