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1477735439

NPI Code Detail

MEDICARE: DR. JOHN VARGHESE KOTTARATHIL MD

MEDICARE: DR. JOHN VARGHESE KOTTARATHIL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101254293	VA
2	208M00000X	Hospitalist Physician	D69198	MD
3	207R00000X	Internal Medicine Physician	C4250	KY
4	207R00000X	Internal Medicine Physician	75451	AZ

General Provider Information

NPI Number	:	1477735439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN VARGHESE KOTTARATHIL MD

Provider Business Mailing Address
First Line	:	100 E CARROLL ST
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21801-5422
Country	:	US
Telephone Number	:	410-546-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 N WILMOT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-2602
Country	:	US
Telephone Number	:	520-296-3211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	02/05/2026

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Directions to “ DR. JOHN VARGHESE KOTTARATHIL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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