SHIVA KOTHARI

JACKSON, MS
NPI1205415866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-02
Last Update Date2021-04-02
Business Address
SHIVA KOTHARI MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 516-509-1765
Mailing Address
SHIVA KOTHARI MD
106 KAY ST
JERICHO, NY 11753-2659
Phone number: 516-509-1765