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NPI Code Detail

MEDICARE: NAVEEN THOTA MD

MEDICARE: NAVEEN THOTA 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
1207R00000XInternal Medicine PhysicianC184067CA
2208M00000XHospitalist Physician35.090174OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972717304
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAVEEN THOTA MD
Provider Business Mailing Address
First Line : 30 E APPLE ST
Second Line : SUITE 1600
City : DAYTON
State : OH
Zip : 45409-2939
Country : US
Telephone Number : 937-208-8394
Fax Number : 937-208-8388
Provider Business Practice Location Address
First Line : 350 HAWTHORNE AVE RM 2316
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3108
Country : US
Telephone Number : 510-869-6886
Fax Number : 510-869-6886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 03/19/2026

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