Provider Demographics
NPI:1528015252
Name:SINDHU KOTWANI MD PA
Entity Type:Organization
Organization Name:SINDHU KOTWANI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SINDHU
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-782-6116
Mailing Address - Street 1:PO BOX 1847
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33539-1847
Mailing Address - Country:US
Mailing Address - Phone:813-782-6116
Mailing Address - Fax:
Practice Address - Street 1:6340 FORT KING RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2531
Practice Address - Country:US
Practice Address - Phone:813-782-6116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty