# DR. SURESH POTLURI

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

## Provider details

- **NPI number:** 1871757708
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 4301093703 | MI | — |
| 208800000X | Urology Physician | 01086616A | IN | — |
| 208800000X | Urology Physician | 4301093703 | MI | Yes |
| 208M00000X | Hospitalist Physician | 01086616A | IN | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 08/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1871757708 | — | MI |
| 01 | — | 340C910480 | BLUE CROSS BLUE SHIELD | MI |