Healthcare Provider Details

I. General information

NPI: 1013232362
Provider Name (Legal Business Name): NIRMIT DILIPKUMAR KOTHARI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 03/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 GRIDER ST ROOM 786
BUFFALO NY
14215-3021
US

IV. Provider business mailing address

1 JOHN JAMES AUDUBON PKWY
AMHERST NY
14228-1143
US

V. Phone/Fax

Practice location:
  • Phone: 716-961-6995
  • Fax: 716-898-5276
Mailing address:
  • Phone: 716-204-4500
  • Fax: 716-204-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number003567
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: