Individual
NIVEDITA MANKOTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 E APPLE ST, SUITE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Mailing address
30 E APPLE ST, SUITE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.127491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149804
—
OH
05
—
03507760
—
NY
Enumeration date
04/26/2007
Last updated
10/10/2016
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