Potluri, Suresh

Potluri, Suresh is an individual health care provider with primary practice located at 815 Saint Joseph Dr , Saint Joseph MI 49085-2529. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Potluri, Suresh can be contacted via phone (269) 983-3455.

Contact Information

Primary practice address
815 Saint Joseph Dr Saint Joseph MI 49085-2529
Phone: (269) 983-3455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301093703 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X 01086616A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01086616A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 4301093703 Michigan

Profile Details

NPI number 1871757708
LBN Legal business name Potluri, Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Jan 23rd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871757708 NPPES
Michigan Other 340C910480 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 1871757708 BLUE CROSS BLUE SHIELD

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