# ANTARA PRATAP POTHULOORI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710131305
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25791 | NE | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 47814 | KY | — |
| 207V00000X | Obstetrics & Gynecology Physician | 50575 | CO | — |
| 207V00000X | Obstetrics & Gynecology Physician | A104060 | CA | — |

## Other

- **Enumeration date:** 11/09/2008
- **Last updated:** 01/17/2017