Kotiah, Sandy Diana
Kotiah, Sandy Diana is an individual health care provider with primary practice located at 227 St. Paul Place 4Th Floor, Baltimore MD 21202-2102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Kotiah, Sandy Diana can be contacted via phone (410) 783-5858.Contact Information
Primary practice address
227 St. Paul Place 4Th Floor
Baltimore MD 21202-2102
Phone: (410) 783-5858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | D70310 | Maryland |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | D70310 | Maryland |
Profile Details
| NPI number | 1104035971 |
|---|---|
| LBN Legal business name | Kotiah, Sandy Diana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jun 2nd, 2016 - about 10 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 | 1104035971 | NPPES |
| Maryland | Other | 9754/0117 | CAREFIRST |
| Maryland | MEDICAID | 032664000 | CAREFIRST |
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