Individual
ANISH GOVIND RADHAKRISHNAN POTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
7210 MCPHERSON RD STE 117, LAREDO, TX 78041-6505
(844) 225-8463
(956) 242-0421
Mailing address
7210 MCPHERSON RD STE 117, LAREDO, TX 78041-6505
(844) 225-8463
(956) 242-0421
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME121143
FL
207X00000X
Orthopaedic Surgery Physician
Primary
Q3076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347261501
—
TX
Enumeration date
09/16/2014
Last updated
06/20/2024
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