Home » Pennsylvania » 63019 » Ravi Kotha

Ravi Kotha (MD)

Ravi Kotha (MD) is a health care provider specializes in Emergency Medicine.

profile-icon Basic Information

Practice Location Hwy 61 South, Crystal City, MO 63019, US
Practice Location Phone904-805-1300
Practice Location Fax904-805-1302
GenderMale
Specialty InEmergency Medicine
NPI ?1770526584
Entity TypeIndividual
Enumeration Date ? Jun 13, 2006
Last Update Date ? Jan 28, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ravi Kotha

SpecialtySpecializationLicenseLicense State
Emergency Medicine 2003021689Missouri

legacy-id-icon Legacy Provider IDs of Ravi Kotha

Provider IdIssuer StateIssuer TypeIssuer
P00066451MissouriOtherRAILROAD MEDICARE
222382593MissouriOtherCHAMPUS
208824110MissouriMedicaid
947071631MissouriOtherMERCY HEALTH
426403MissouriOtherHEALTHLINK
124884MissouriOtherBLUE CROSS