Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revathi Kotla MD PC

Organization Nephrology Physician · NPI 1609343672

Revathi Kotla MD PC provides Nephrology Physician services 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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