Kotlaba, David

Kotlaba, David is an individual health care provider with primary practice located at 201 S Main St Suite 1100, Danville VA 24541-2927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kotlaba, David can be contacted via phone (434) 791-3009.

Contact Information

Primary practice address
201 S Main St Suite 1100 Danville VA 24541-2927
Phone: (434) 791-3009
Fax: (434) 791-3228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101221387 Virginia

Profile Details

NPI number 1164512836
LBN Legal business name Kotlaba, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164512836 NPPES
Virginia Other 265400 ANTHEM
Virginia MEDICAID 5836026 ANTHEM
Virginia Other 690586T ANTHEM

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