Organization
PRASAD POTARAJU MD., INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASAD POTARAJU M.D. (PRESIDENT)
(614) 389-3353
Entity
Organization
Contact information
Practice address
5858 MYRICK RD, DUBLIN, OH 43016-7934
(614) 389-3353
(614) 389-3353
Mailing address
5858 MYRICK RD, DUBLIN, OH 43016-7934
(614) 389-3353
(614) 389-3353
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
74490
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2865163
—
OH
Enumeration date
08/31/2006
Last updated
12/01/2014
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