| Doctor Name: | DR. PUNITA P KOTHARI |
| NPI Number: | 1144201849 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 35044362 |
| Business Practice Address: | 110 E Howard St Willard, OH - 448901611 |
| Business Phone Number: | 4199645000 |
| Business Fax Number: | 4194484553 |
| Mailing Address: | 110 E Howard St, WILLARD |
| State: | OH |
| Postal Code: | 448901611 |
| Phone Number: | 4199645000 |
| Fax Number: | 4194484553 |
| NPI Enumeration Date: | 11/09/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 170100000X |
| License Number: | 35044362 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Medical Genetics, Ph.D. Medical Genetics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |