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Soona Kothawala
Acute Care Nurse Practitioner in Rochester, Michigan
NPI 1326369885

Soona Kothawala is an Acute Care Nurse Practitioner based in Royal Oak, MI and is specialized in Acute Care. Soona Kothawala practices in Rochester, MI. The NPI Number for Soona Kothawala is 1326369885 and holds a License No. 4704214560 (Michigan).

The current practice location address for Soona Kothawala is 1101 W University Dr, Rochester, MI and can be reached out via phone at 248-601-6176.

Location: 1101 W University Dr, Rochester, MI, 48067-4517
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Provider Profile Details
NPI Number
1326369885
Provider Name
Soona Kothawala
Credential
Provider Entity Type
Individual
Gender
Female
Address
1101 W University Dr, Rochester, MI, 48067-4517
Phone Number
248-601-6176
Fax Number
Provider Enumeration Date
06/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 MI BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
1101 W University Dr
City
State
Zip
48307-1863
Phone Number
248-601-6176
Fax Number
person
Provider Business Mailing Address Details
Address
1101 W University Dr
City
State
Zip
48307-1863
Phone Number
248-601-6176
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
4704214560 (Michigan)
Definition
Definition to come...
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