Active NPIOrganization

Revathi Kotla MD PC

Internal Medicine, Nephrology in West Orange, New Jersey

NPI Number1609343672
Practice location
623 Eagle Rock Ave, West Orange, NJ 07052-2948
Fax
—
Last updated
October 29, 2018

Revathi Kotla MD PC is a healthcare organization based in West Orange, NJ. Revathi Kotla MD PC practices in West Orange, NJ. The NPI Number for Revathi Kotla MD PC is 1609343672. The current practice location address for Revathi Kotla MD PC is 623 Eagle Rock Ave, West Orange, NJ 07052-2948 and can be reached out via phone at 973-736-0687.

Provider Profile Details

NPI Number
1609343672
Provider Name
Revathi Kotla MD PC
Provider Entity Type
Organization
Address
623 Eagle Rock Ave, West Orange, NJ 07052-2948
Phone Number
973-736-0687
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Organization Subpart
No
Authorized Official
Revathi Kotla, MD · Owner · 973-758-1650
Provider Enumeration Date
October 29, 2018
Last Update Date
October 29, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
623 Eagle Rock Ave
West Orange, NJ 07052-2948
Zip
07052-2948
Phone Number
973-736-0687
West Orange, NJ 07052Get directions →

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

Taxonomy
Internal Medicine, Nephrology · 207RN0300X · 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 Revathi Kotla MD PC?

The NPI number of Revathi Kotla MD PC is 1609343672. It was assigned on October 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Revathi Kotla MD PC?

Revathi Kotla MD PC is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X).

Where does Revathi Kotla MD PC practice?

The practice location is 623 Eagle Rock Ave, West Orange, NJ 07052-2948. The office can be reached at 973-736-0687 (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 1609343672 directly on the NPPES registry website.

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