Individual
DR. KUSUM S KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
485 W MARKET ST, TIFFIN, OH 44883-2611
(419) 448-3101
Mailing address
6619 WILLOWOOD AVE, MAUMEE, OH 43537-1142
(419) 865-0198
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35. 048578
OH
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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