Individual
BHAVANA POTHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 E 34TH ST, NEW YORK, NY 10016-4744
(212) 731-6455
Mailing address
160 E 34TH ST, NEW YORK, NY 10016-4744
(212) 263-5198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
217274-1
NY
207VX0201X
Gynecologic Oncology Physician
Primary
217274
NY
Other
Enumeration date
07/02/2006
Last updated
09/27/2022
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