NPI 1063418366

Shanu Nikhil Kothari, MD

Practitioner Surgery Physician Greenville, SC

Practice location

Address: 905 Verdae Blvd STE 202, Greenville, SC 29607-4029
Phone: (864) 676-1072
Mailing address: 300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 83043 (SC)

Other Surgery providers in South Carolina →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 38040 (WI)

Registry record

NPI: 1063418366
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2005
Record last updated: 20 May 2021

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.