Koticha, Kirtan Nalin

Koticha, Kirtan Nalin is an individual health care provider with primary practice located at 1455 E Bert Koun Loop # 101 , Shreveport LA 71105-5634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Koticha, Kirtan Nalin can be contacted via phone (318) 798-4424.

Contact Information

Primary practice address
1455 E Bert Koun Loop # 101 Shreveport LA 71105-5634
Fax: (318) 798-4450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 204824 Louisiana

Profile Details

NPI number 1528279965
LBN Legal business name Koticha, Kirtan Nalin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Oct 8th, 2018 - about 7 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 1528279965 NPPES
Louisiana MEDICAID 1099881

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