Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 16945 | NV |
N | 111NI0900X | Internist | 16945 | NV |
N | 207R00000X | Internist | 47750 | AZ |
N | 111NI0900X | Internist | 47750 | AZ |
N | 207R00000X | Internist | T0265 | TX |
N | 111NI0900X | Internist | T0265 | TX |
Y | 207RN0300X | Nephrologist | 11266127-1205 | UT |
N | 207RN0300X | Nephrologist | T0265 | TX |
NPI | 1003130618 |
---|---|
Provider Name | Dr. Janame J Kottey |
First Address | Salt Lake City, UT 84132-0002 |
Second Address | Dallas, TX 75240-5787 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 04/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T0265 | TEXAS LICENSE (01) | TX |