Healthcare Provider Details

I. General information

NPI: 1275495145
Provider Name (Legal Business Name): KATARZYNA LAURA KOTFIS MD, PHD, EDAIC, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 21ST AVE S 526 MAB
NASHVILLE TN
37212-2717
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-585-8056
  • Fax:
Mailing address:
  • Phone: 615-585-8056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number74547
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: