Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2013-02156 | NC |
Y | 111NI0900X | Internist | 2013-02156 | NC |
N | 207R00000X | Internist | D0070905 | MD |
N | 111NI0900X | Internist | D0070905 | MD |
N | 207SG0201X | Clinical Genetics (M.D.) | 2013-02156 | NC |
N | 207SG0201X | Clinical Genetics (M.D.) | D0070905 | MD |
N | 208000000X | Pediatrician | 2013-02156 | NC |
N | 208000000X | Pediatrician | D0070905 | MD |
NPI | 1689687287 |
---|---|
Provider Name | Dr. Vinayak Kottoor |
First Address | Asheville, NC 28805-2717 |
Second Address | Arden, NC 28704-7812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 29/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
420200700 | (05) | MD |