Female

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

Provider Address