Provider Demographics
NPI:1093079410
Name:MCCOTTER, SOFIA ELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:ELENA
Last Name:MCCOTTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SOFIA
Other - Middle Name:ELENA
Other - Last Name:MIRKOPOULOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2060 READING RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1454
Mailing Address - Country:US
Mailing Address - Phone:513-721-3200
Mailing Address - Fax:513-639-3186
Practice Address - Street 1:7495 STATE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-2498
Practice Address - Country:US
Practice Address - Phone:513-231-3447
Practice Address - Fax:513-231-3761
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.128446207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology