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Contact Information

CHARLES V KOTAL, MD
912 32ND ST.
STE A
ANACORTES, WA98221
 Phone: 360-416-5750
 Fax: 360-416-5758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for CHARLES V KOTAL · (Male)

NPI Number 1104888361
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2006
Last updated 05/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00035345
  • WA Medicaid 8229627
  • Other GAB33047 GROUP
Hospital affiliation(s)
  • ISLAND HOSPITAL - (Acute Care)
    1211 24TH STREET
    ANACORTES, WA 98221
  • SKAGIT VALLEY HOSPITAL - (Acute Care)
    1415 KINCAID STREET
    MOUNT VERNON, WA 98274
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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