| 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 |