Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 277508 | NY |
N | 208000000X | Pediatrician | 277508 | NY |
Y | 2080P0201X | Pediatric Allergist | 35126858 | OH |
N | 2080P0208X | Pediatric Infectious Diseases | 277508 | NY |
NPI | 1346680394 |
---|---|
Provider Name | Dr. Kobkul Chotikanatis |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2013 |
Last Update Date | 27/12/2021 |