Individual
DR. SURESH C POTHURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 PROSPECT ST, HOSPITALIST PROGRAM, FOUNDATION MEDICAL PARTNERS, NASHUA, NH 03060-3925
(603) 577-2000
Mailing address
8 PROSPECT ST, HOSPITALIST PROGRAM, FOUNDATION MEDICAL PARTNERS, NASHUA, NH 03060-3925
(603) 577-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D63023
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407453000
—
MD
01
—
647113-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/25/2006
Last updated
04/12/2021
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