Individual
AVIN POTHULOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2790 CLAY EDWARDS DR STE 1250, C/O HELLMAN & ROSEN ENDOCRINE, NORTH KANSAS CITY, MO 64116-3260
(816) 421-3700
(816) 421-1654
Mailing address
2790 CLAY EDWARDS DR STE 1250, C/O HELLMAN & ROSEN ENDOCRINE, NORTH KANSAS CITY, MO 64116-3260
(816) 421-3700
(816) 421-1654
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2016030319
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01775520
RAILROAD MEDICARE
—
Enumeration date
05/25/2011
Last updated
05/22/2017
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