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1114973179
PRAVEENA R KOTHUR
PHOENIX, AZ
NPI
1114973179
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Professional Name
PRAVEENA R KOTHUR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: AZ 30666)
Enumeration Date
2006-05-25
Last Update Date
2024-01-02
Business Address
PRAVEENA R KOTHUR M.D.
4901 N 44TH ST STE 103
PHOENIX, AZ 85018-2782
Phone number: 602-954-0405
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Mailing Address
PRAVEENA R KOTHUR M.D.
PO BOX 603725
CHARLOTTE, NC 28260-3725
Phone number: 828-575-2625
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