Provider Demographics
NPI:1265749626
Name:KOTHARI, ATUL (MD)
Entity type:Individual
Prefix:DR
First Name:ATUL
Middle Name:
Last Name:KOTHARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 SPRINGHILL DR STE 350
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2964
Mailing Address - Country:US
Mailing Address - Phone:501-945-0392
Mailing Address - Fax:501-235-2269
Practice Address - Street 1:3201 SPRINGHILL DR STE 350
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2964
Practice Address - Country:US
Practice Address - Phone:501-945-0392
Practice Address - Fax:501-235-2269
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125055618207R00000X
ARE8500207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine