person
Shiva Kothari, MD
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1205415866

Shiva Kothari is a Student in an Organized Health Care Education/Training Program based in Jericho, MS. Shiva Kothari practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Shiva Kothari is 1205415866 and holds a License No. (Mississippi).

The current practice location address for Shiva Kothari is 2500 N State St, Jackson, MS and can be reached out via phone at 516-509-1765.

Location: 2500 N State St, Jackson, MS, 11753-2659
person
Provider Profile Details
NPI Number
1205415866
Provider Name
Shiva Kothari
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 11753-2659
Phone Number
516-509-1765
Fax Number
Provider Enumeration Date
04/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
516-509-1765
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
516-509-1765
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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