MEDICARE: DR. VIRAL KOTHARI M.D.

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	208000000X	Pediatrics Physician	1.051574	CT
2	208000000X	Pediatrics Physician	47325	AZ
3	208000000X	Pediatrics Physician	P4665	TX
4	208000000X	Pediatrics Physician	27301	OK
5	2080S0012X	Pediatric Sleep Medicine Physician	DR.0059150	CO

General Provider Information

NPI Number	:	1831326495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRAL KOTHARI M.D.

Provider Business Mailing Address
First Line	:	9235 N UNION BLVD STE 150-334
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7831
Country	:	US
Telephone Number	:	719-638-1122
Fax Number	:	719-638-1123

Provider Business Practice Location Address
First Line	:	6031 E WOODMEN RD STE 330
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2624
Country	:	US
Telephone Number	:	800-506-8933
Fax Number	:

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

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	10/28/2025

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