Individual
DR. PRABHU K POTLURI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD30424
TN
207L00000X
Anesthesiology Physician
MD45589
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3096710
BCBS
TN
05
—
3827550
—
TN
Enumeration date
02/22/2006
Last updated
07/08/2007
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