Organization
EXCEL ANESTHESIA CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVIN POTLURU (PRESIDENT)
(917) 685-1055
Entity
Organization
Contact information
Practice address
102 NORTHSIDE PARK, ELIZABETH CTY, NC 27909-9337
(917) 685-1055
Mailing address
334 GREENS EDGE DR, CHESAPEAKE, VA 23322-8078
(917) 685-1055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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