Individual
SRINIVAS KOTTAPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 BREWER DR, UNIONTOWN, PA 15401-8400
(724) 437-2503
(724) 437-8846
Mailing address
845 ASHTON CT, NORTH HUNTINGDON, PA 15642-3999
(814) 603-3676
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD039369L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470927
HIGHMARK BC/BS
PA
Enumeration date
08/15/2005
Last updated
12/11/2013
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