Active NPIIndividual providerSole proprietor

Dr. Radha Kotamraju

Emergency Medicine in Montclair, New Jersey

NPI Number1255533188
Practice location
1 Bay Ave, Montclair, NJ 07042-4837
Fax
—
Last updated
May 19, 2008

Radha Kotamraju is an Emergency Medicine based in Montclair, NJ. Radha Kotamraju practices in Montclair, NJ. The NPI Number for Radha Kotamraju is 1255533188 and holds a License No. 25MA08239300 (NJ). The current practice location address for Radha Kotamraju is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6991.

Provider Profile Details

NPI Number
1255533188
Provider Name
Radha Kotamraju
Provider Entity Type
Individual
Gender
Female
Address
1 Bay Ave, Montclair, NJ 07042-4837
Phone Number
973-429-6991
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2007
Last Update Date
May 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Ave
Montclair, NJ 07042-4837
Zip
07042-4837
Phone Number
973-429-6991
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
2828 Croasdaile Dr
Durham, NC 27705-2505
City
Durham
State
NC
Zip
27705-2505
Phone Number
919-425-1541

License Information

License Number
25MA08239300
License State
NJ
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Radha Kotamraju?

The NPI number of Dr. Radha Kotamraju is 1255533188. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Radha Kotamraju?

Dr. Radha Kotamraju is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MA08239300.

Where does Dr. Radha Kotamraju practice?

The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-429-6991 (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 1255533188 directly on the NPPES registry website.

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