| Kothari Medical Associates, Inc. | |
|
4051 Lincoln Way E Massillon OH 44646-3770 | |
| (330) 477-8770 | |
| (330) 477-5613 |
| Full Name | Kothari Medical Associates, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4051 Lincoln Way E, Massillon, Ohio |
| Authorized Official Name and Position | Rajnikant Kothari (PRESIDENT) |
| Authorized Official Contact | 3304778770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kothari Medical Associates, Inc. 4051 Lincoln Way E Massillon OH 44646-3770 Ph: (330) 477-8770 | Kothari Medical Associates, Inc. 4051 Lincoln Way E Massillon OH 44646-3770 Ph: (330) 477-8770 |
| NPI Number | 1740397728 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 02/01/2008 |
| Medicare PECOS PAC ID | 6901129436 |
|---|---|
| Medicare Enrollment ID | O20150108000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740397728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35043958 (Ohio) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35043410 (Ohio) | Primary |
| Provider Name | Saroj R Kothari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275598518 PECOS PAC ID: 0648466136 Enrollment ID: I20101123000552 |
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Lifecare Family Health And Dental Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 Amherst Rd Ne, Massillon, OH 44646 Phone: 330-454-2000 | |
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Michael Yutzy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3140 Lincoln Way E, Suite 200, Massillon, OH 44646 Phone: 330-837-9554 | |
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