Kota, Suresh K

Kota, Suresh K is an individual health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy , Midland TX 79701-5846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kota, Suresh K can be contacted via phone (432) 221-1111.

Contact Information

Primary practice address
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846
Phone: (432) 221-1111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47025 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35611 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M8095 Texas

Profile Details

NPI number 1609921782
LBN Legal business name Kota, Suresh K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Sep 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609921782 NPPES
Iowa MEDICAID 0749283
Iowa MEDICAID 1749283
Iowa Other M8095
Iowa Other 47568
Iowa MEDICAID 34539400

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