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Individual

DR. SHIVANGI TRUPTESH KOTHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBBS

Contact information

Practice address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-4711
(585) 271-7868
Mailing address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-4711
(585) 271-7868

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA08358000
NJ
363AM0700X
Medical Physician Assistant
266869
NY

Other

Enumeration date
07/23/2008
Last updated
07/07/2023
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