Individual
DR. SUDHEER POTRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
080677
GA
207L00000X
Anesthesiology Physician
5101022145
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
5101022145
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2010
Last updated
11/13/2018
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