Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 131535 | NY |
Y | 207KA0200X | Allergist | 32711 | NJ |
NPI | 1003878943 |
---|---|
Provider Name | Harish B Kothari |
First Address | South Plainfield, NJ 07080-5127 |
Second Address | South Plainfield, NJ 07080-5127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C08899 | (02) |