Organization
KRISHNAN POTTI, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESE A HINES (BILLING SUPERVISOR)
(219) 769-4616
Entity
Organization
Contact information
Practice address
8300 BROADWAY STE B, MERRILLVILLE, IN 46410-8602
(219) 769-4616
(219) 736-0719
Mailing address
8300 BROADWAY STE B, MERRILLVILLE, IN 46410-8602
(219) 769-4616
(219) 736-0719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01025043A
IN
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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