Individual
DR. NISHITHA KOTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 SCOTT AND WHITE DR, KILLEEN, TX 76543-5252
(254) 680-1100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A148723
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
U5441
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2014
Last updated
10/26/2023
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