Revathi Kotla, MD
Internal Medicine, Nephrology in Short Hills, New Jersey
1063506434- Practice location
- 61 Joanna Way, Short Hills, NJ 07078-3206
- Phone
- 973-758-1650
- Fax
- —
- Last updated
- April 26, 2021
Revathi Kotla is an Internal Medicine, Nephrology based in Short Hills, NJ. Revathi Kotla practices in Short Hills, NJ and has the professional credentials of MD. The NPI Number for Revathi Kotla is 1063506434 and holds a License No. 325921 (LA). The current practice location address for Revathi Kotla is 61 Joanna Way, Short Hills, NJ 07078-3206 and can be reached out via phone at 973-758-1650.
Provider Profile Details
- NPI Number
- 1063506434
- Provider Name
- Revathi Kotla
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 61 Joanna Way, Short Hills, NJ 07078-3206
- Phone Number
- 973-758-1650
- Primary Taxonomy
- Internal Medicine, Nephrology · 207RN0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 3, 2006
- Last Update Date
- April 26, 2021
- Certification Date
- April 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 Joanna Way
Short Hills, NJ 07078-3206 - City
- Short Hills
- State
- New Jersey
- Zip
- 07078-3206
- Phone Number
- 973-758-1650
Provider Business Mailing Address Details
- Address
- 61 Joanna Way
Short Hills, NJ 07078-3206 - City
- Short Hills
- State
- NJ
- Zip
- 07078-3206
- Phone Number
- 973-758-1650
License Information
- License Number (1)
- 325921
- License State (1)
- LA
- Taxonomy (1)
- Internal Medicine, Nephrology · 207RN0300X
- License Number (2)
- MA64664
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Nephrology · 207RN0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Nephrology providers near Short Hills, NJ
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Frequently Asked Questions
What is the NPI number of Revathi Kotla, MD?
The NPI number of Revathi Kotla, MD is 1063506434. It was assigned on October 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Revathi Kotla, MD?
Revathi Kotla, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in LA under license number 325921.
Where does Revathi Kotla, MD practice?
The practice location is 61 Joanna Way, Short Hills, NJ 07078-3206. The office can be reached at 973-758-1650 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063506434 directly on the NPPES registry website.