Potluri, Ajith Kumar

Potluri, Ajith Kumar is an sole proprietor health care provider with primary practice located at 3391 W Vine St Ste 303 , Kissimmee FL 34741-4665. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Potluri, Ajith Kumar can be contacted via phone (407) 962-7449.

Contact Information

Primary practice address
3391 W Vine St Ste 303 Kissimmee FL 34741-4665
Phone: (407) 962-7449
Fax: (407) 932-0303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME115004 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME115004 Florida

Profile Details

NPI number 1194791392
LBN Legal business name Potluri, Ajith Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Jun 1st, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194791392 NPPES
Florida MEDICAID 009920000

Popular Providers