PRASHANTH POTHEM

LEESVILLE, LA
NPI1619123890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  204696)
Enumeration Date2008-08-07
Last Update Date2011-10-03
Business Address
-- PRASHANTH POTHEM M.D.
1201 W FERTITTA BLVD
LEESVILLE, LA 71446-4637
Phone number: 248-635-0979
Mailing Address
-- PRASHANTH POTHEM M.D.
1201 W FERTITTA BLVD
LEESVILLE, LA 71446-4637
Phone number: 248-635-0979
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