Individual
PIANKHI OTHELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 681-8577
Mailing address
310 W 99TH ST APT 801, NEW YORK, NY 10025-5422
(646) 399-3213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30643801
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C1-0026413
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2017
Last updated
12/09/2025
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