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

Bhanu Prakash Kotha

Individual provider Pharmacist · NPI 1154604403

Bhanu Prakash Kotha is a Pharmacist in Miami, Florida. Practices as a sole proprietor. Licensed in Florida and New Jersey.

Licensed in
FL, NJ
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

12463 SW 124th Path
Miami, FL 33186-5410
Phone: (305) 964-7311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS 39623 (FL)
Pharmacist Taxonomy 183500000X · Licence 28RI03411300 (NJ)

Record details

NPI number1154604403
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 22, 2011
Last updated in NPPESSeptember 22, 2011
Mailing addressS/O K.V.Rattaiah(Rtd Hm), Employees Colony, Marturu, 52330

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