Organization
SANKARA RAO KOTHAKOTA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANKARA RAO KOTHAKOTA M.D. (DOCTOR)
(301) 864-7600
Entity
Organization
Contact information
Practice address
5632 ANNAPOLIS RD, SUITE 1, BLADENSBURG, MD 20710-2213
(301) 864-7600
(301) 864-6245
Mailing address
5632 ANNAPOLIS RD, SUITE 1, BLADENSBURG, MD 20710-2213
(301) 864-7600
(301) 864-6245
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0024019
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
792641300
—
MD
Enumeration date
05/03/2012
Last updated
05/03/2012
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