Individual
MIRA LALCHANDANI KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
503 GRASSLANDS RD STE 201, VALHALLA, NY 10595-1593
(914) 367-0000
Mailing address
503 GRASSLANDS RD STE 201, VALHALLA, NY 10595-1593
(914) 367-0000
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
298016
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2012
Last updated
11/20/2019
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