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Individual
DR. RAJENDRA POTLURI
Active
Individual
DR. RAJENDRA POTLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9227
ND
208M00000X
Hospitalist Physician
Primary
9227
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12271
—
ND
01
—
22610
BLUE SHIELD
ND
01
—
25978
BLUE SHIELD
ND
01
—
28579
BLUE SHIELD
ND
01
—
28580
BLUE SHIELD
ND
01
—
28581
BLUE SHIELD
ND
01
—
28582
BLUE SHIELD
ND
01
—
28583
BLUE SHIELD
ND
01
—
CF8850
RAILROAD MEDICARE
ND
01
—
P00003010
RAILROAD MEDICARE
ND
Enumeration date
10/19/2005
Last updated
10/14/2021
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