Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Revathi Kotla MD PC

Organization Nephrology Physician · NPI 1609343672

Revathi Kotla MD PC is a Nephrology Physician in West Orange, New Jersey. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

623 Eagle Rock Ave
West Orange, NJ 07052-2948
Phone: (973) 736-0687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1609343672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Revathi Kotla — Owner · (973) 758-1650
NPI enumeratedOctober 29, 2018
Last updated in NPPESOctober 29, 2018
Mailing address61 Joanna Way, Short Hills, NJ 07078-3206

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