Kotamraju, Radha
Kotamraju, Radha is an sole proprietor health care provider with primary practice located at 1 Bay Ave , Montclair NJ 07042-4837. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Kotamraju, Radha can be contacted via phone (973) 429-6991.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MA08239300 | New Jersey |
Profile Details
| NPI number | 1255533188 |
|---|---|
| LBN Legal business name | Kotamraju, Radha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2007 |
| Last updated | May 19th, 2008 - about 16 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 | 1255533188 | NPPES |
| New Jersey | MEDICAID | 0140708 |
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