Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD-45786 | IA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | P74990 | NY |
Y | 207YP0228X | Pediatric Otolaryngology | MD-45786 | IA |
NPI | 1003120718 |
---|---|
Provider Name | Sohit P Kanotra |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2010 |
Last Update Date | 30/07/2021 |