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Individual

KRISHNA KANTH POTLURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 1ST AVE # 2A31, NEW YORK, NY 10029-7404
(212) 423-6684
Mailing address
1901 1ST AVE # 2A31, NEW YORK, NY 10029-7404

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
289667
NY
207P00000X
Emergency Medicine Physician
50552
KY
207P00000X
Emergency Medicine Physician
MD17431
RI
207P00000X
Emergency Medicine Physician
Primary
MD55461
IA

Other

Enumeration date
09/20/2014
Last updated
08/22/2025
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