Individual
DR. VEERA PAVAN KUMAR KOTARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE, 725, LANSING, MI 48912-1800
(517) 364-5599
(517) 364-5590
Mailing address
1200 E MICHIGAN AVE, 725, LANSING, MI 48912-1800
(517) 364-5599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085630
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301085630
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710154927
—
MI
Enumeration date
05/15/2008
Last updated
02/20/2025
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