Individual
JAGAN KOTHAPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2091 LANGHORNE RD, LYNCHBURG, VA 24501
(434) 947-3954
(434) 947-5944
Mailing address
2140 KINGSLEY AVE STE 10, ORANGE PARK, FL 32073-5129
(904) 529-5252
(904) 529-5253
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME115829
FL
Other
Enumeration date
08/20/2006
Last updated
08/07/2018
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