Mr Vijayasimha Kotha, MD in Ogdensburg, NY

Mr Vijayasimha Kotha, MD - Urology in Ogdensburg, NY

Mr Vijayasimha Kotha, MD is a Urology physician based in Ogdensburg, New York. Mr Vijayasimha Kotha is licensed to practice in New York (license number 1140931) and his current practice location is 312 King Street, Ogdensburg, New York. He can be reached at his office (for appointments etc.) via phone at (315) 393-1144.

NPI number for Mr Vijayasimha Kotha is 1124197447 and his current mailing address is P.o. Box 156, 312 King Street, Ogdensburg, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124197447.

Contact Information

	Mr Vijayasimha Kotha, MD
	312 King Street, Ogdensburg, NY 13669
	(315) 393-1144
	(315) 393-1476

Map and Direction

Physician's Profile

Full Name	Mr Vijayasimha Kotha
Gender	Male
Speciality	Urology
Location	312 King Street, Ogdensburg, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1124197447
Provider Enumeration Date: 11/08/2006
Last Update Date: 01/06/2011

Medical Identifiers

Medical identifiers for Mr Vijayasimha Kotha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124197447	NPI	-	NPPES
00500587	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	1140931 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Vijayasimha Kotha is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Vijayasimha Kotha, MD P.o. Box 156, 312 King Street, Ogdensburg, NY 13669-1195 Ph: (315) 393-1144	Mr Vijayasimha Kotha, MD 312 King Street, Ogdensburg, NY 13669 Ph: (315) 393-1144