Healthcare Provider Details

I. General information

NPI: 1447145685
Provider Name (Legal Business Name): MAYANK KOTADIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF ANESTHESIOLOGY N2198 UNC CB# 7010
CHAPEL HILL NC
27599-7010
US

IV. Provider business mailing address

DEPARTMENT OF ANESTHESIOLOGY N2198 UNC CB# 7010
CHAPEL HILL NC
27599-7010
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-5136
  • Fax: 919-966-4873
Mailing address:
  • Phone: 919-966-5136
  • Fax: 919-966-4873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: