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Contact Information

JAGAN KOTHAPALLY, MD
2091 LANGHORNE RD
LYNCHBURG, VA24501
 Phone: 434-947-3954
 Fax: 434-947-5944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAGAN KOTHAPALLY · (Male)

NPI Number 1649385733
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 08/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME115829
Hospital affiliation(s)
  • ORANGE PARK MEDICAL CENTER - (Acute Care)
    2001 KINGSLEY AVE
    ORANGE PARK, FL 32073
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    1 SHIRCLIFF WAY
    JACKSONVILLE, FL 32204
  • ST VINCENTS MEDICAL CENTER - CLAY COUNTY INC - (Acute Care)
    1670 ST VINCENTS WAY
    MIDDLEBURG, FL 32068
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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