Individual
DR. KIRANKUMAR KANTILAL KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 E MAIN ST, ORANGE REGIONAL MEDICAL CENTER, MIDDLETOWN, NY 10940-2650
(845) 333-1000
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
176901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01121484
—
NY
Enumeration date
12/07/2005
Last updated
03/18/2015
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