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

Individual provider Internal Medicine Physician · NPI 1174560148

Ajay K. Kottapalli, MD is an Internal Medicine in Gallipolis, Ohio. Qualified in 1990, 36 years ago. Practices with Holzer Clinic LLC, a 264-clinician group and accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
36
Licensed in
OH, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone: (740) 446-5287
Fax: (740) 446-5854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35-07-4335 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 18873 (WV)

Record details

NPI number1174560148
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address90 Jackson Pike, Gallipolis, OH 45631-1560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Holzer Clinic Llc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gallipolis