Revathi Kotla (NPI# 1063506434, PAC ID# 9133154776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1063506434 |
| PAC ID by PECOS | 9133154776 |
| Professional Enrollment ID | I20051003000102 |
| Full Name | Revathi Kotla |
| Address |
623 Eagle Rock Ave West Orange NJ 07052-2948 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310076 | SAINT BARNABAS MEDICAL CENTER |
| 310083 | EAST ORANGE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 623 Eagle Rock Ave, West Orange, NJ 07052-2948 | ||
| 623 Eagle Rock Ave, Suite 1, West Orange, NJ 07052-2948 | 9737360687 | ADVANCE MEDICINE OF WEST ESSEX PA |
| Street Address |
623 EAGLE ROCK AVE |
| City | WEST ORANGE |
| State | NJ |
| Zip | 07052-2948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Somaya M Abboud | Internal Medicine | Advance Medicine of West Essex Pa | 623 Eagle Rock Ave, Suite 1, West Orange, NJ 07052-2948 |
| Sonia Aram | Registered Dietitian Or Nutrition Professional | Advance Medicine of West Essex Pa | 623 Eagle Rock Ave, Suite 1, West Orange, NJ 07052-2948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Hertz | Vascular Surgery | 1500 Pleasant Valley Way, Suite 302, West Orange, NJ 07052-0256 | |
| Sanjay Lalla | Plastic and Reconstructive Surgery | 383 Northfield Ave, Suite 102, West Orange, NJ 07052-0383 | |
| Cheryl S Citron | Dermatology | 101 Old Short Hills Rd, West Orange, NJ 07052-1000 | |
| Jane K Hochberg | Clinical Psychologist | 56 Herbert Ter, West Orange, NJ 07052-1021 | |
| Jennifer D Fitzgibbons | Nurse Practitioner | Rubino Ob Gyn Group Pa | 101 Old Short Hills Rd, Suite 101, West Orange, NJ 07052-1023 |
| Irina Alekseyeva | Anesthesiology | Barnabas Health Multispecialty | 101 Old Short Hills Rd, Suite 217, West Orange, NJ 07052-1023 |
| Isaac Kramer | Internal Medicine | 101 Old Short Hills Rd, Suite 440, West Orange, NJ 07052-1023 | |
| Lisa E Abeshaus | Obstetrics/gynecology | Rubino Ob Gyn Group Pa | 101 Old Short Hills Rd, Suite 101, West Orange, NJ 07052-1023 |
| Deborah Greengrass | Nurse Practitioner | Gynecologic Cancer and Pelvic Surgery LLC | 101 Old Short Hills Rd, Suite 400, West Orange, NJ 07052-1023 |
| Vasileios Kostaras | General Surgery | Professional Associates In Surgery, LLP | 101 Old Short Hills Rd, Suite 206, West Orange, NJ 07052-1023 |
| Find all physicians in zip 07052 | |||
| City | WEST ORANGE |
| Zip Code | 07052 |
| Specialty | NEPHROLOGY |
| City + Specialty | WEST ORANGE + NEPHROLOGY |
Please comment or provide details below to improve the information on Revathi Kotla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.