Provider Demographics
NPI:1205918851
Name:KOTWAL, DHIRAJ KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:DHIRAJ
Middle Name:KUMAR
Last Name:KOTWAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5350 INDEPENDENCE PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035
Mailing Address - Country:US
Mailing Address - Phone:214-396-8877
Mailing Address - Fax:214-983-0983
Practice Address - Street 1:5350 INDEPENDENCE PKWY STE 120
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035
Practice Address - Country:US
Practice Address - Phone:214-396-8877
Practice Address - Fax:214-983-0983
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2016-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM8773207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L7998Medicare UPIN