MEDICARE: NAGA PATTABHI RAMA SANKAR KOTHAPALLI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A146693	CA

General Provider Information

NPI Number	:	1619301579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAGA PATTABHI RAMA SANKAR KOTHAPALLI MD

Provider Business Mailing Address
First Line	:	2260 SILVER TERRACE WAY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95138-2333
Country	:	US
Telephone Number	:	201-450-3255
Fax Number	:

Provider Business Practice Location Address
First Line	:	11801 PIERCE ST STE 200
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-4400
Country	:	US
Telephone Number	:	909-789-0260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2013
Last Update Date	:	04/09/2026

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