Provider Demographics
NPI:1427510304
Name:KOTRAPPA, NEEL SOMASUNDAR (MD)
Entity type:Individual
Prefix:DR
First Name:NEEL
Middle Name:SOMASUNDAR
Last Name:KOTRAPPA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-837-8731
Mailing Address - Fax:760-837-8732
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-837-8731
Practice Address - Fax:760-837-8732
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2024-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA177018207Q00000X, 207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine