Shanu Nikhil Kothari, MD
Surgery in Greenville, SC. Individual provider (NPI-1).
NPI number1063418366
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1063418366
- Entity type
- Individual (NPI-1)
- Name
- Shanu Nikhil Kothari
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2005
- Certification date
- May 20, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 83043 | SC | Yes |
| 208600000X | Surgery | 38040 | WI |
Practice location
905 Verdae Blvd Ste 202Greenville, SC 29607-4029
Phone 864-676-1072
Mailing address
300 E McBee Ave Fl 4Greenville, SC 29601-2842
Phone 864-522-8603
Other practice locations
501 Epting Ave
Greenwood, SC 29646-4091
Greenwood, SC 29646-4091
Phone 864-227-8932
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