Individual
MOHAMMAD H KOTAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 PLAZA DR, SUIT 5, MISSION, TX 78572-6049
(956) 583-0095
(956) 583-2118
Mailing address
900 PLAZA DR, SUIT 5, MISSION, TX 78572-6049
(956) 583-0095
(956) 583-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K0877
TX
207RN0300X
Nephrology Physician
Primary
K0877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110164624
MEDICARE RAILROAD
TX
05
—
127635404
—
TX
Enumeration date
10/24/2006
Last updated
07/07/2009
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