Kotlov, Mikhail

Kotlov, Mikhail is an individual health care provider with primary practice located at 1 Kalisa Way Suite 210, Paramus NJ 07652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Kotlov, Mikhail can be contacted via phone (201) 447-0013.

Contact Information

Primary practice address
1 Kalisa Way Suite 210 Paramus NJ 07652
Fax: (201) 255-4515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 238660 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA08410200 New Jersey

Profile Details

NPI number 1891840872
LBN Legal business name Kotlov, Mikhail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Oct 4th, 2023 - about last year

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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