RAVI KOTHA

CRYSTAL CITY, MO
NPI1770526584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2003021689)
Enumeration Date2006-06-13
Last Update Date2011-01-28
Business Address
-- RAVI KOTHA MD
HWY 61 SOUTH
CRYSTAL CITY, MO 63019
Phone number: 904-805-1300
Mailing Address
-- RAVI KOTHA MD
PO BOX 827431
PHILADELPHIA, PA 19182-7431
Phone number: 904-805-1300
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