Denson, Pamela Kothari
Denson, Pamela Kothari is an individual health care provider with primary practice located at 2001 S Woodruff Ave Suite 10, Idaho Falls ID 83404-6374. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Denson, Pamela Kothari can be contacted via phone (417) 885-0828.Contact Information
Primary practice address
2001 S Woodruff Ave Suite 10
Idaho Falls ID 83404-6374
Phone: (417) 885-0828
Fax: (417) 886-7383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | N5163 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2012007463 | Missouri |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M-12616 | Idaho |
Profile Details
| NPI number | 1487854055 |
|---|---|
| LBN Legal business name | Denson, Pamela Kothari |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Feb 16th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487854055 | NPPES |
| Missouri | MEDICAID | 1487854055 | |
| Missouri | Other | 431560263 | |
| Missouri | MEDICAID | 194646001 | |
| Missouri | Other | P01128235 |
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