Revathi Kotla Md Pc

LBN: Revathi Kotla Md Pc
Revathi Kotla Md Pc is an health care organization with primary practice located at 623 Eagle Rock Ave , West Orange NJ 07052-2948. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Revathi Kotla Md Pc can be contacted via phone (973) 736-0687, or through Kotla, Revathi via phone (973) 758-1650.

Contact Information

Primary practice address
623 Eagle Rock Ave West Orange NJ 07052-2948
Phone: (973) 736-0687
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kotla, Revathi Doctor of Medicine (MD)
Phone: (973) 758-1650

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1609343672
LBN Legal business name Revathi Kotla Md Pc
DBA Doing business as
Authorized official Kotla, Revathi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2018
Last updated Oct 29th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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