NPI 1013168251

Shiva Kumar Kotturi, MD

Practitioner General Practice Physician Paramus, NJ

Practice location

Address: 37 W Century Rd STE 111, Paramus, NJ 07652-1466
Phone: (201) 262-2244
Fax: (201) 262-2246
Mailing address: 133 Christie St, Edison, NJ 08820-3749

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MA59794 (NJ)

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Registry record

NPI: 1013168251
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2008
Record last updated: 30 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.