Individual
KHYATI NIRMIT KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1068 CRESTHAVEN RD STE 500, MEMPHIS, TN 38119-0846
(901) 448-2400
(901) 302-2420
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
53556
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008452266
—
MS
05
—
213682001
—
AR
05
—
Q021386
—
TN
Enumeration date
08/21/2010
Last updated
02/26/2025
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