Individual
DR. RAKSHA A KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 566-6845
(856) 566-6906
Mailing address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 566-6845
(856) 566-6906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA041488
NJ
208M00000X
Hospitalist Physician
25MA04148800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110170805
RAILROAD MEDICARE
NJ
05
—
6678203
—
NJ
Enumeration date
01/17/2006
Last updated
11/01/2013
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