Dr. Deepthi S. Kotihal M.D.
Full Name
Dr. Deepthi Shivanand Kotihal M.D.
NPI Number
1154581841
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/16/2008
Specialties
(Taxonomies)Code
207Q00000X
207R00000X
Primary Taxonomy
No
No
Licenses
State
Oklahoma
Pennsylvania
License Number
32891
MT190350
Contact
Information
Purpose
Mailing
Location
Address
550 S PEORIA AVE
550 S PEORIA AVE
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74120-3820
74120-3820
Country
US
US
Telephone Number
(918) 588-1900
(918) 588-1900
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/21/2022