Mr Mohan D Potluri, MD | |
1662 Central Ave, Albany, NY 12205-4001 | |
(518) 869-9692 | |
(518) 869-7220 |
Full Name | Mr Mohan D Potluri |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1662 Central Ave, Albany, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730166232 | NPI | - | NPPES |
000400079001 | Other | URGENT CARE | |
0061396 | Other | GHI | |
4544624 | Other | AETNA | |
52E592 | Other | BLUE CROSS BLUE SHIELD | |
01138 | Other | MVP | |
55582 | Other | GHI HMO | |
5500530 | Other | GHI | |
000401122000 | Other | BLUE SHIELD OF NENY | |
04B091 | Other | BLUE CROSS BLUE SHIELD | |
53242 | Other | GHI HMO | |
9521451 | Other | GHI | |
000461122003 | Other | BLUE SHIELD OF NENY | |
01146 | Other | MVP | |
10001639 | Other | CDPHP | |
01137 | Other | MVP | |
000401122001 | Other | BLUE SHIELD OF NENY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 134947 (New York) | Primary |
207P00000X | Emergency Medicine | 134947 (New York) | Secondary |
Entity Name | Ctp Newton Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801851829 PECOS PAC ID: 1456339639 Enrollment ID: O20040713000954 |
Mailing Address | Practice Location Address |
---|---|
Mr Mohan D Potluri, MD 1662 Central Ave, Albany, NY 12205-4001 Ph: (518) 869-9692 | Mr Mohan D Potluri, MD 1662 Central Ave, Albany, NY 12205-4001 Ph: (518) 869-9692 |
Dr. Lin Chun Wang, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 319 S Manning Blvd Ste 304, Albany, NY 12208 Phone: 518-525-5206 Fax: 518-525-5209 | |
Joshua Michael Cullen, DO General Practice Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave Dept Of, Albany, NY 12208 Phone: 518-262-5735 |