Shridhar Kotta MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHRIDHAR KOTTA MD PA

Practice address

512 Victoria LN Ste 4
Harlingen, TX 78550-3227

Phone

(956) 341-6440

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shridhar Kotta, MDNPI 1780674432

Title

Owner

Phone

(956) 341-6440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Shridhar Kotta, M.D.

  • Internal Medicine Physician
  • Harlingen, TX
  • NPI 1780674432
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1265663165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532409",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785532409",
            "telephone_number": "956-341-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN STE 4",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503227",
            "telephone_number": "956-341-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRIDHAR KOTTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "KOTTA",
        "authorized_official_first_name": "SHRIDHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-341-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Short, M.D.
• Shelley Shorts, LVN
• Sandra Shoukair, DO
• Lidia M Showing, MD
• Pratick Shrestha
• Jonathan Shukitt
• Qazi Asif Siddique, M.D.
• Jaya Rachel Sigamala
• Sights My Line, Inc
• Kayla Marie Silguero, LPC

• Internal Medicine Physician in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.