Individual
DR. BHARAT POTHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10425 HUFFMEISTER RD STE 280, HOUSTON, TX 77065-3430
(832) 632-4070
(832) 688-9496
Mailing address
10425 HUFFMEISTER RD STE 280, HOUSTON, TX 77065-3430
(832) 632-4070
(832) 688-9496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L8896
TX
207RG0100X
Gastroenterology Physician
Primary
L8896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167464001
—
TX
01
—
8W5340
BLUE CROSS BLUE SHIELD NO
TX
Enumeration date
11/07/2006
Last updated
04/13/2022
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