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Ravi Kotha, MD
Emergency Medicine Physician in Crystal City, Missouri
NPI 1770526584

Ravi Kotha is a Emergency Medicine Physician based in Philadelphia, MO. Ravi Kotha practices in Crystal City, MO and has the professional credentials of MD. The NPI Number for Ravi Kotha is 1770526584 and holds a License No. 2003021689 (Missouri).

The current practice location address for Ravi Kotha is Hwy 61 South, Crystal City, MO and can be reached out via phone at 904-805-1300 and via fax at 904-805-1302.

Location: Hwy 61 South, Crystal City, MO, 19182-7431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770526584
Provider Name
Ravi Kotha
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Hwy 61 South, Crystal City, MO, 19182-7431
Phone Number
904-805-1300
Fax Number
904-805-1302
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
426403 01 MO HEALTHLINK
208824110 05 MO
222382593 01 MO CHAMPUS
P00066451 01 MO RAILROAD MEDICARE
947071631 01 MO MERCY HEALTH
124884 01 MO BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
Hwy 61 South
City
Crystal City
State
Missouri
Zip
63019
Phone Number
904-805-1300
Fax Number
904-805-1302
person
Provider Business Mailing Address Details
Address
Hwy 61 South
City
Crystal City
State
Missouri
Zip
63019
Phone Number
904-805-1300
Fax Number
904-805-1302
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
2003021689 (Missouri)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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