Shiva Kumar Kotturi
General Practice Physician
37 W Century Rd Ste 111
Paramus
, New Jersey 07652-1466
Shiva Kumar Kotturi
General Practice Physician
37 W Century Rd Ste 111
Paramus
, New Jersey 07652-1466
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Shiva Kumar Kotturi
- 133 Christie St
- Edison, NJ
- Zip : 08820-3749
- Phone :
Second Address
- Shiva Kumar Kotturi
- 37 W Century Rd Ste 111
- Paramus, NJ
- Zip : 07652-1466
- Fax : (201) 262-2246
- Phone : (201) 262-2244
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | MA59794 | NJ |
National Provider Identifier
| NPI | 1013168251 |
|---|---|
| Provider Name | Shiva Kumar Kotturi |
| First Address | Edison, NJ 08820-3749 |
| Second Address | Paramus, NJ 07652-1466 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2008 |
| Last Update Date | 30/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.