Susrutha Kotwal MD

NPI 1003061060 - Internal Medicine - 207R00000X

NPI Details
NPI 1003061060
Gender Male
Enumeration Date 11/18/2008
Last Updated 07/09/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
4940 EASTERN AVE
MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE MD, 21224-2735, US
Phone (410) 550-5018
Fax
Business Location
PO BOX 64264
BALTIMORE MD, 21264-4264, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Maryland
License Number D74006
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According to our database, Dr. Susrutha Kotwal MD NPI is 1003061060, taxonomy code is 207R00000X and license number is D74006, license state is located at Maryland. Susrutha Kotwal MD physically located at 4940 Eastern Ave, Baltimore MD, 21224-2735. NPI Number Susrutha Kotwal MD has the Individual type.

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1003061060 NPI number is provided on an as is basis without warranty of any kind. 1003061060 is maintained by the National Plan & Provider Enumeration System. The contents of Susrutha Kotwal MD are for informational purposes only.