Shridhar Kotta MD PA
Internal Medicine in Harlingen, TX. Organization (NPI-2).
NPI number1265663165
StatusActive
Last updated in NPPESDec 14, 2009
Details
- NPI
- 1265663165
- Entity type
- Organization (NPI-2)
- Legal business name
- Shridhar Kotta MD PA
- Organization subpart
- No
- Enumeration date
- Jul 27, 2009
- Last updated
- Dec 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
512 Victoria Ln Ste 4Harlingen, TX 78550-3227
Phone 956-341-6440
Mailing address
Po Box 532409Harlingen, TX 78553-2409
Phone 956-341-6440
Authorized official
Shridhar Kotta
Owner
9563416440
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