Individual
SHANI KOTADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1645 N SWAN RD, TUCSON, AZ 85712-4046
(520) 623-2642
(520) 327-9300
Mailing address
2149 E WARNER RD STE 102, TEMPE, AZ 85284-3495
(480) 610-6100
(480) 610-6189
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
52141
AZ
207RN0300X
Nephrology Physician
Primary
MT199210
PA
Other
Enumeration date
08/05/2011
Last updated
11/05/2021
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