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1013012103
SRINIVAS POTTURI
SHREVEPORT, LA
NPI
1013012103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA MD.200712)
Enumeration Date
2006-09-13
Last Update Date
2007-07-09
Business Address
Dr. SRINIVAS POTTURI M.D.,
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Dr. SRINIVAS POTTURI M.D.,
189 CAPTAIN H.M BLVD.
SHREVEPORT, LA 71115
Phone number: 318-459-7557
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