Individual
SHAVETA KOTWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21170 ASHBY PONDS BLVD., ASHBURN, VA 20147
(571) 291-6131
(571) 291-6135
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(571) 291-6131
(571) 291-6135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101244163
VA
207R00000X
Internal Medicine Physician
2024-02927
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101244163
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-60195
EVERCARE
—
01
—
1841492733
ANTHEM BCBS
—
01
—
5374-0022
CAREFIRST BCBS
—
01
—
541908787004
TRICARE
—
Enumeration date
06/03/2007
Last updated
02/26/2026
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