Kota Medical Pc in Portage - Gastroenterology
Kota Medical Pc - NPI 1063668614
Kota Medical Pc is a Gastroenterology in Portage, Indiana. Kota Medical Pc practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Kota Medical Pc is 1063668614. The last update date is 2013-03-28.
Kota Medical Pc's current location address is 3630 Willowcreek Rd, Portage, Indiana. You can contact this provider via phone number 2197595812 and fax number 2197595890. The mailing address for Kota Medical Pc is 3630 Willowcreek Rd, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kota Medical Pc |
|---|---|
| Address | 3630 Willowcreek Rd, Portage, Indiana |
| Phone Number | 2197595812 |
| Fax Number | 2197595890 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kota Rao Ranga |
| Credentials | MD |
| Telephone Number | 2197595812 |
NPI Number Detail
| NPI Number | 1063668614 |
|---|---|
| Provider Enumeration Date | 2008-08-14 |
| Last Updated Date | 2013-03-28 |
Provider Mailing Address Detail
| Address | 3630 Willowcreek Rd |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463685075 |
| Phone Number | 2197595812 |
| Fax Number | 2197595890 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 1038987 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200007810 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kota Medical Pc by the Centers for Medicare & Medicaid Services?
The Kota Medical Pc has been issued the NPI (National Provider Identifier) 1063668614 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kota Medical Pc is located?
The Kota Medical Pc is situated at the following address: 3630 Willowcreek Rd, Portage, IN, 463685075.
What is Kota Medical Pc's area of expertise and its corresponding taxonomy classification?
The Kota Medical Pc's field of specialization is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kota Medical Pc receive the assignment of its 1063668614 from the Centers for Medicare & Medicaid Services?
The Kota Medical Pc was issued its 1063668614 by the Centers for Medicare & Medicaid Services on 2008-08-14.
As of what date was the information regarding Kota Medical Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kota Medical Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-03-28.