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General NPI Number Information
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NPI Number | 1851902506
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Entity Type | Individual
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Provider Name | MEGHA KOTHA
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Gender | Female
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1860 MOWRY AVE STE 201
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City | FREMONT
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State | CA
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Zip | 94538-1730
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Country | US
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Telephone | 925-685-4224
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Fax |
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Provider Business Mailing Address
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Address Line | 45128 WARM SPRINGS BLVD UNIT 334
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City | FREMONT
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State | CA
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Zip | 94539-6131
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Country | US
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Telephone | 408-712-7805
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A201882
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A201882
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License Number State | CA
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