Individual
KOTRESHA NEELAKANTAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 745-3079
(718) 491-1678
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 745-3079
(718) 491-1678
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
119846
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00307777
—
NY
Enumeration date
05/19/2006
Last updated
08/01/2022
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