Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 57.008666 | OH |
Y | 207VX0201X | Gynecologic Oncologist | 01082843A | IN |
NPI | 1518160720 |
---|---|
Provider Name | Dr. Rajul Kothari |
First Address | Chicago, IL 60612 |
Second Address | Dyer, IN 46311-1596 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 29/03/2021 |