Punita P Kothari

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

PUNITA P KOTHARI

Practice address

485 W Market St
Tiffin, OH 44883-2611

Phone

(419) 448-4553

Fax

(419) 448-4553

NPI assigned

Apr 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Punita P Kothari, M.D.NPI 1144201849

Title

Owner

Phone

(419) 448-4553

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Punita P Kothari, M.D.

  • Ph.D. Medical Genetics
  • Willard, OH
  • NPI 1144201849
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1265607394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832611",
            "telephone_number": "419-448-4553",
            "fax_number": "419-448-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832611",
            "telephone_number": "419-448-4553",
            "fax_number": "419-448-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNITA P KOTHARI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "PUNITA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-448-4553",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0767371",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melvin Walter David Proctor, PCC-S
• Promedica Central Physicians LLC
• Teresa Province
• Bryce K Pryor
• Cadyia Pugh
• Tammie Sue Queen, LPN
• Katelyn M Rable, MA CF-SLP
• Rachel Hummel-Sass, Psy.D., LLC
• Brandi Radabaugh, PTA
• Emily Nicole Radcliff, PTA

• All providers in Tiffin, OH
• Clinical Pathology/Laboratory Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.