Individual
DR. POTHU RAJU NAGABHYRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 FOREST GLEN RD, KAISER PERMANENTE OFFICE, SILVER SPRING, MD 20910-1483
(301) 754-7126
(301) 754-7127
Mailing address
2101 E JEFFERSON ST, KAISER PERMENANTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0063639
MD
Other
Enumeration date
11/21/2005
Last updated
06/04/2021
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