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

Individual provider Obstetrics & Gynecology Physician · NPI 1073556064

Dr. Prema Kothandaraman, MD is an Obstetrics/Gynecology in Arcadia, California. Qualified in 1987, 39 years ago. Practices with Ob-Gyn Place a Medical Corporation, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2006
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

51 N 5th Ave Ste 204
Arcadia, CA 91006-3711
Phone: (626) 358-1970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A82019 (CA)

Record details

NPI number1073556064
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 14, 2006
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Ob-Gyn Place A Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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