NPI 1013012103
Srinivas Potturi, MD
Practice location
- Address
- 510 E Stoner Ave, Shreveport, LA 71101-4243
- Phone
- (318) 221-8411
- Mailing address
- 189 Captain H.M Blvd., Shreveport, LA 71115
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1013012103
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Sep 2006
- Record last updated
- 9 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.