Potluri, Prabhu K

Potluri, Prabhu K is an individual health care provider with primary practice located at 2341 Mccallie Ave Suite 402, Chattanooga TN 37404-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Potluri, Prabhu K can be contacted via phone (423) 698-3309.

Contact Information

Primary practice address
2341 Mccallie Ave Suite 402 Chattanooga TN 37404-3239
Fax: (423) 624-6355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD30424 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD45589 Georgia

Profile Details

NPI number 1891760989
LBN Legal business name Potluri, Prabhu K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 13th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891760989 NPPES
Tennessee MEDICAID 3827550
Tennessee Other 3096710

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