Individual
MONIKA POTHAMSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 E ROSSER AVE, BISMARCK, ND 58501-4457
(701) 751-9500
Mailing address
701 E ROSSER AVE, BISMARCK, ND 58501-4457
(701) 751-9500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2024034349
MO
207Q00000X
Family Medicine Physician
Primary
RL17435
ND
Other
Enumeration date
07/13/2021
Last updated
11/22/2024
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