Provider Demographics
NPI:1598901175
Name:KOTHARI, ULKA TARUSH (MBBS)
Entity Type:Individual
Prefix:DR
First Name:ULKA
Middle Name:TARUSH
Last Name:KOTHARI
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Gender:F
Credentials:MBBS
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Mailing Address - Street 1:222 STATION PLZ N
Mailing Address - Street 2:SUITE 611
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3800
Mailing Address - Country:US
Mailing Address - Phone:516-663-2532
Mailing Address - Fax:516-663-2233
Practice Address - Street 1:175 FULTON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3718
Practice Address - Country:US
Practice Address - Phone:516-292-1034
Practice Address - Fax:516-292-0565
Is Sole Proprietor?:No
Enumeration Date:2009-01-01
Last Update Date:2020-11-19
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Provider Licenses
StateLicense IDTaxonomies
NY270187208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics