Individual
SHANTHI POTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 JACKSON ST, ALEXANDRIA, LA 71301-7656
(318) 441-1034
Mailing address
4043 STARLIGHT CREEK DR, CELINA, TX 75009-1597
(858) 699-5499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101283962
VA
207P00000X
Emergency Medicine Physician
346368
LA
207Q00000X
Family Medicine Physician
0101283962
VA
207Q00000X
Family Medicine Physician
Primary
346368
LA
208000000X
Pediatrics Physician
0101283962
VA
208000000X
Pediatrics Physician
346368
LA
2084P0800X
Psychiatry Physician
0101283962
VA
2084P0800X
Psychiatry Physician
346368
LA
208D00000X
General Practice Physician
0101283962
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2023
Last updated
06/10/2025
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