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Dr. Nilesh N. Kotecha is a Board-Certified Neurosurgeon who provides state-of-the-art, least invasive surgical treatment options available anywhere. Dr. Kotecha is one of the very few neurosurgeons in the country, with dual spine fellowship training in neurosurgery and orthopedics in the country performing endoscopic laser spine surgery.

Dr. Kotecha received his medical degree from the University of Texas Medical School - Houston and completed his neurosurgery residency at Brown University / Rhode Island Hospital in Providence, RI. He subsequently did an intensive neurosurgery fellowship in Complex and Reconstructive Spine Surgery at the University of South Florida under the supervision of a world-renowned spine surgeon, Dr. David Cahill. This fellowship involved taking care of patients with complex spinal pathologies, including operating on patients who had undergone spinal surgeries with other spinal surgeons and still had persistent pain (Failed Back Syndrome). Whilst in private practice, his continued passion for learning led him to do a second fellowship in Orthopedic spine surgery with world-renowned endoscopic spine surgeon Dr. Anthony Yeung.

Dr. Kotecha’s unique combination of fellowships and years of patient experience has allowed him a unique approach to treating patients with various spinal ailments in the least invasive manner possible.

A surgeon of attorneys, physicians, NFL players, entrepreneurs, and business leaders, Dr. Kotecha is sought out for his expertise by people from all walks of life.

Dr. Kotecha and his wife, Mira Kotecha love to travel, practice Yoga, Meditation, and Spirituality with their children.


Fellowship in Complex & Reconstructive Spine Surgery, Neurological Surgery, David Cahill, MD

University of South Florida, Tampa General Hospital, Tampa, FL

Fellowship in Endoscopic Spine Surgery, Orthopedic Spine, Anthony Yeung, MD

Desert Institute for Spine Care, Phoenix, AZ


Fellow of American College of Surgeons

Diplomate of American Board of Neurological Surgery



North American Spine Society (NASS)

American Association of Neurological Surgeons (AANS)

Congress of Neurosurgery (CNS)

International Intradiscal Therapy and Transforaminal Spine Society (IITTS)

Texas Medical Association

NOTICE CONCERNING COMPLAINTS Complaints about physicians, as well as other licensees and registrants of the Texas Medical Board, including physician assistants, acupuncturists, and surgical assistants may be reported for investigation at the following address: Texas Medical Board Attention: Investigations 333 Guadalupe, Tower 3, Suite 610 P.O. Box 2018, MC-263 Austin, Texas 78768-2018 Assistance in filing a complaint is available by calling the following telephone number: 1-800-201-9353 For more information please visit our website at

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