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Individual

ARAVIND POTHINENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1723 BROADWAY SUITE 205, CAPE GIRADEAU, MO 63701
(573) 331-7830
Mailing address
1723 BROADWAY ST STE 205, CAPE GIRARDEAU, MO 63701-4556
(573) 331-7830

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2014012500
MO
207RP1001X
Pulmonary Disease Physician
Primary
2014012500
MO
207RP1001X
Pulmonary Disease Physician
NA
NY

Other

Enumeration date
10/03/2007
Last updated
02/25/2026
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