Individual
MR. RAMESH M KOTIHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1563 KINGSLEY AVENUE, SUITE 106, ORANGE PARK, FL 32073
(904) 272-6161
(904) 389-5332
Mailing address
2 SHIRCLIFF WAY, SUITE 700 DEPAUL BLDG., JACKSONVILLE, FL 32204-4763
(904) 389-5333
(904) 389-5332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51437-20
WI
207RN0300X
Nephrology Physician
51437-20
WI
207RN0300X
Nephrology Physician
Primary
ME103955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001479700
—
FL
Enumeration date
12/04/2006
Last updated
04/19/2024
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