| Harish Kotipoyina Md Pllc | |
|
6500 W Newberry Rd Gainesville FL 32605-4309 | |
| (352) 333-4000 | |
| Not Available |
| Full Name | Harish Kotipoyina Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6500 W Newberry Rd, Gainesville, Florida |
| Authorized Official Name and Position | Harish Kotipoyina (PRESIDENT) |
| Authorized Official Contact | 8635130967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harish Kotipoyina Md Pllc Po Box 357564 Gainesville FL 32635-7564 Ph: () - | Harish Kotipoyina Md Pllc 6500 W Newberry Rd Gainesville FL 32605-4309 Ph: (352) 333-4000 |
| NPI Number | 1649993361 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 9638545460 |
|---|---|
| Medicare Enrollment ID | O20221020000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649993361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Harish Kotipoyina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184157844 PECOS PAC ID: 0143593418 Enrollment ID: I20200928002619 |
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