Provider / Organization | NPI | Date Certified |
---|---|---|
SRINATH KOTAMARTI | 1801281316 | 2024-01-08 |
Srinath Kotamarti is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801281316. Registration indicates Srinath Kotamarti is a provider of access to urologists services with a specialization in Allopathic & Osteopathic Physicians, Urology (Urology, ) (Allopathic & Osteopathic Physicians, Urology) (Specialist Network, ) (Urology, Allopathic & Osteopathic Physicians) Access to Urologists (Allopathic & Osteopathic Physicians, Urology) (Urology, ) (Allopathic & Osteopathic Physicians, Urology) (Specialist Network, ) (Urology, Allopathic & Osteopathic Physicians)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Srinath Kotamarti |
Practice Office Address | 2705 PRINCE GEORGE AVE DESOTO, TX US |
Practice Office Telephone | 9727800480 |
Practice Office Fax | 9727801453 |
Mailing Address | PO BOX 911230 DALLAS, TX 753911230 US |
Business Telephone | 9729978000 |
Address | City / State | Phone / Fax |
---|---|---|
1501 W Royal Ln | Irving, TX 750633213 | 4695135500 / 4694209600 |
2220 Bryan Pl Ste 104 | Midlothian, TX 760657127 | 9727800480 / 9727801453 |
252 Matlock Rd Ste 140 | Mansfield, TX 760634296 | 8172763300 / 8172763350 |
1411 N Beckley Ave Ste 464 | Dallas, TX 752031268 | 2149483101 / 2149417633 |
Code | Practice | License No State |
---|---|---|
208800000X PRIMARY | Access to Urologists Allopathic & Osteopathic Physicians Urology Urology Allopathic & Osteopathic Physicians Urology Specialist Network Urology Allopathic & Osteopathic Physicians | U2540
TX |
208800000X | Access to Urologists Allopathic & Osteopathic Physicians Urology Urology Allopathic & Osteopathic Physicians Urology Specialist Network Urology Allopathic & Osteopathic Physicians | 2021-01215
NC |