Whalio Doctors

NPI 1013012103

Srinivas Potturi, MD

Practitioner Diagnostic Radiology Physician Shreveport, LA

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
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD.200712 (LA)

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.