Kotwal, Mahesh M

Kotwal, Mahesh M is an individual health care provider with primary practice located at 4722 N 24Th St Suite 150, Phoenix AZ 85016-4800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Kotwal, Mahesh M can be contacted via phone (602) 256-4628.

Contact Information

Primary practice address
4722 N 24Th St Suite 150 Phoenix AZ 85016-4800
Phone: (602) 256-4628
Fax: (855) 851-4319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11968 Arizona
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 11968 Arizona

Profile Details

NPI number 1619907797
LBN Legal business name Kotwal, Mahesh M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 6th, 2024 - about 2 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 1619907797 NPPES
Arizona MEDICAID 283872-05

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