Individual
TIMUR KOTLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6001 WEBB RD, TAMPA, FL 33615-3241
(312) 724-8477
Mailing address
PO BOX 1108, CORVALLIS, OR 97339-1108
(805) 286-3826
(805) 221-6843
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01095395A
IN
2085R0202X
Diagnostic Radiology Physician
102646
GA
2085R0202X
Diagnostic Radiology Physician
2020-00439
NC
2085R0202X
Diagnostic Radiology Physician
34100
NH
2085R0202X
Diagnostic Radiology Physician
M-15670
ID
2085R0202X
Diagnostic Radiology Physician
MD28945
ME
2085R0202X
Diagnostic Radiology Physician
Primary
ME165058
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2015
Last updated
03/12/2026
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