Individual
DR. NILESHKUMAR KANTILAL KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1308 HARRISON AVE, MCCOMB, MS 39648-2830
(601) 250-0965
Mailing address
1308 HARRISON AVE, MCCOMB, MS 39648-2830
(601) 250-0965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35399-020
WI
Other
Enumeration date
08/13/2006
Last updated
05/22/2019
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