Kotha, Vani

Kotha, Vani is an sole proprietor health care provider with primary practice located at 1615 Hospital Pkwy Ste 202 , Bedford TX 76022-5935. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Kotha, Vani can be contacted via phone (817) 786-8686.

Contact Information

Primary practice address
1615 Hospital Pkwy Ste 202 Bedford TX 76022-5935
Phone: (817) 786-8686
Fax: (866) 869-0489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X M6242 Texas

Profile Details

NPI number 1124233846
LBN Legal business name Kotha, Vani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Oct 17th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124233846 NPPES
Texas MEDICAID 186267402

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