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General NPI Number Information
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NPI Number | 1801101118
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Entity Type | Organization
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Legal Business Name | MAHESH KOTTAPALLI, M.D., P.A.
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 151 RVG PKWY STE 101
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City | WAXAHACHIE
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State | TX
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Zip | 75165-5241
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Country | US
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Telephone | 972-283-2370
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Fax | 972-296-0311
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Provider Business Mailing Address
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Address Line | 2727 BOLTON BOONE DR
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City | DESOTO
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State | TX
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Zip | 75115-2019
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Country | US
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Telephone | 972-283-2370
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Fax | 972-296-0311
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAHESH B KOTTAPALLI
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Credential | M.D.
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Telephone | 972-283-2370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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