Kothari, Madhubala A
Kothari, Madhubala A is an individual health care provider with primary practice located at 1860 Town Center Dr Ste 210, Reston VA 20190-5905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kothari, Madhubala A can be contacted via phone (330) 455-0374.Contact Information
Primary practice address
1860 Town Center Dr Ste 210
Reston VA 20190-5905
Phone: (330) 455-0374
Fax: (330) 455-2101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101263835 | Virginia |
Profile Details
| NPI number | 1245287515 |
|---|---|
| LBN Legal business name | Kothari, Madhubala A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Sep 16th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245287515 | NPPES |
| Ohio | MEDICAID | 7610021 |
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