Individual
MADHAVA R KOTI
Active
Individual
MADHAVA R KOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
059812
GA
207R00000X
Internal Medicine Physician
Primary
059812
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001967
LICENSE
NY
01
—
059812
GEORGIA LICENSE
GA
Enumeration date
07/18/2006
Last updated
06/09/2011
Update your record
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