Doctor Name: | DR. SUDHIR C POTLURI |
NPI Number: | 1669537759 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 185337-1 |
Business Practice Address: | 1 Norton Ave Oneonta, NY - 138202629 |
Business Phone Number: | 6074323711 |
Business Fax Number: | 6074326402 |
Mailing Address: | 1656 Champlin Ave, Suite 221 UTICA |
State: | NY |
Postal Code: | 135024830 |
Phone Number: | 3152660088 |
Fax Number: | 3152660090 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 05/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 185337-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |