| Krishnan Potti, M.d. | |
|
8300 Broadway Ste B Merrillville IN 46410-8602 | |
| (219) 769-4616 | |
| (219) 736-0719 |
| Full Name | Krishnan Potti, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8300 Broadway Ste B, Merrillville, Indiana |
| Authorized Official Name and Position | Therese A Hines (BILLING SUPERVISOR) |
| Authorized Official Contact | 2197694616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krishnan Potti, M.d. 8300 Broadway Ste B Merrillville IN 46410-8602 Ph: (219) 769-4616 | Krishnan Potti, M.d. 8300 Broadway Ste B Merrillville IN 46410-8602 Ph: (219) 769-4616 |
| NPI Number | 1669651105 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669651105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01025043A (Indiana) | Primary |
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