Kotha, Purushotham
Kotha, Purushotham is an sole proprietor health care provider with primary practice located at 8860 Center Dr #400, La Mesa CA 91942-3068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kotha, Purushotham can be contacted via phone (619) 229-1995.Contact Information
Primary practice address
8860 Center Dr #400
La Mesa CA 91942-3068
Phone: (619) 229-1995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A41538 | California |
Profile Details
| NPI number | 1093730814 |
|---|---|
| LBN Legal business name | Kotha, Purushotham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Sep 19th, 2012 - about 12 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 | 1093730814 | NPPES |
| California | MEDICAID | GR0099230 |
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