Sisir Botta Valid NPI
Individual provider · Pediatric Urology Physician · Tampa, FL
- NPI
- 1942462619
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Urology Physician (Urology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2088P0231X
- License number
- ME124764 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-06-25
- Last updated
- 2015-07-15
Practice location
4712 N Armenia Ave, Suite 200
Tampa, FL 33603-2611
(813) 874-7500