Kotapothula, Surekha Venkata

Kotapothula, Surekha Venkata is an individual health care provider with primary practice located at 4Th And Walnut Streets 3Rd Floor, Lebanon PA 17042-6123. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kotapothula, Surekha Venkata can be contacted via phone (717) 270-4876.

Contact Information

Primary practice address
4Th And Walnut Streets 3Rd Floor Lebanon PA 17042-6123
Phone: (717) 270-4876
Fax: (717) 270-3875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD437413 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD437413 Pennsylvania

Profile Details

NPI number 1184800781
LBN Legal business name Kotapothula, Surekha Venkata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2008
Last updated Feb 25th, 2020 - about 6 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 1184800781 NPPES
Pennsylvania MEDICAID 102327998 0004

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