Healthcare Provider Details

I. General information

NPI: 1932792264
Provider Name (Legal Business Name): ROHITH REDDY KOTHAKAPU DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE BLDG 19
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8901 ROCKVILLE PIKE FL 6
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-1782
  • Fax: 301-295-4759
Mailing address:
  • Phone: 301-295-4771
  • Fax: 301-295-4759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2691
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: