Sankara Rao Kothakota MD PA

NPI 1063412765 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1063412765
Gender Male
Enumeration Date 07/26/2005
Last Updated 12/31/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
5632 ANNAPOLIS RD
#2
BLADENSBURG MD, 20710-2213, US
Phone (301) 864-7600
Fax (301) 864-6245
Business Location
5632 ANNAPOLIS RD
#2
BLADENSBURG MD, 20710-2213, US
Phone (301) 864-7600
Fax (301) 864-6245
Toxanomy
Taxonomy Code 207X00000X
License State Maryland
License Number D0024019
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According to our database, Dr. Sankara Rao Kothakota MD PA NPI is 1063412765, taxonomy code is 207X00000X and license number is D0024019, license state is located at Maryland. Sankara Rao Kothakota MD PA physically located at 5632 Annapolis Rd, Bladensburg MD, 20710-2213. NPI Number Sankara Rao Kothakota MD PA has the Individual type.

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1063412765 NPI number is provided on an as is basis without warranty of any kind. 1063412765 is maintained by the National Plan & Provider Enumeration System. The contents of Sankara Rao Kothakota MD PA are for informational purposes only.