Organization
AJAY M KOTHARI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY MAHESHCHANDRA KOTHARI M.D (PHYSICIAN)
(229) 942-9534
Entity
Organization
Contact information
Practice address
136 S LEE ST STE A, AMERICUS, GA 31709-3698
(229) 380-0266
(229) 380-0267
Mailing address
109 MORNINGSIDE DRIVE, AMERICUS, GA 31709
(229) 942-9534
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26984
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00075963G
—
GA
Enumeration date
07/30/2012
Last updated
10/15/2024
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