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Individual
SREELATHA POTTALA
Active
Individual
SREELATHA POTTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A117291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841426947
—
CA
Enumeration date
06/03/2009
Last updated
10/27/2020
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