Individual
DR. DEVEN SURESH KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2940 E BANNER GATEWAY DR, SUITE 400, GILBERT, AZ 85234
(480) 256-4273
(480) 256-3672
Mailing address
2940 E BANNER GATEWAY DR, SUITE 400, GILBERT, AZ 85234
(480) 256-4273
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45574
AZ
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
15394C
WY
Other
Enumeration date
07/07/2007
Last updated
05/10/2024
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