Individual
DR. RAVI KOTHURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9413 FLATLANDS AVE, SUITE 002 EAST, BROOKLYN, NY 11236-3726
(718) 257-7770
(718) 257-7550
Mailing address
9413 FLATLANDS AVE, SUITE 002 EAST, BROOKLYN, NY 11236-3726
(718) 257-7770
(718) 257-7550
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
223921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02362307
—
NY
Enumeration date
05/27/2006
Last updated
10/16/2013
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