Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 35044362 | OH |
NPI | 1144201849 |
---|---|
Provider Name | Dr. Punita P Kothari |
First Address | Willard, OH 44890-1611 |
Second Address | Willard, OH 44890-1611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D33278 | (02) | OH |