Potluri, Srinivasa Rao
Potluri, Srinivasa Rao is an individual health care provider with primary practice located at 676 Us Highway 202/206 Bldg 2, Bridgewater NJ 08807-1761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Potluri, Srinivasa Rao can be contacted via phone (908) 218-1180.Contact Information
Primary practice address
676 Us Highway 202/206 Bldg 2
Bridgewater NJ 08807-1761
Phone: (908) 218-1180
Fax: (908) 218-1718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25MA07137500 | New Jersey |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 25MA07137500 | New Jersey |
Profile Details
| NPI number | 1427088897 |
|---|---|
| LBN Legal business name | Potluri, Srinivasa Rao |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 10th, 2024 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427088897 | NPPES |
| Other | 2K4368 | HEALTHNET | |
| Other | 5148191 | HEALTHNET | |
| MEDICAID | 8686301 | HEALTHNET | |
| Other | 9001121440 | HEALTHNET | |
| Other | 211930200 | HEALTHNET | |
| Other | 2229034000 | HEALTHNET | |
| Other | 3342020 | HEALTHNET | |
| Other | 900112144 | HEALTHNET | |
| Other | P00091708 | HEALTHNET | |
| Other | 90-0112144 | HEALTHNET | |
| Other | P2486490 | HEALTHNET | |
| Other | 3342021 | HEALTHNET |
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