Individual
DR. VISHNU SAGAR POTLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-2638
(215) 349-5703
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-2638
(215) 349-5703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD462649
PA
207RN0300X
Nephrology Physician
Primary
MD462649
PA
Other
Enumeration date
06/06/2013
Last updated
09/23/2019
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