person
Chetan K Potu
Student in an Organized Health Care Education/Training Program in San Jose, California
NPI 1104575661

Chetan K Potu is a Student in an Organized Health Care Education/Training Program based in San Jose, CA. Chetan K Potu practices in San Jose, CA. The NPI Number for Chetan K Potu is 1104575661 and holds a License No. (California).

The current practice location address for Chetan K Potu is 751 S Bascom Ave, San Jose, CA and can be reached out via phone at 631-689-8333.

Location: 751 S Bascom Ave, San Jose, CA, 95128-2699
person
Provider Profile Details
NPI Number
1104575661
Provider Name
Chetan K Potu
Credential
Provider Entity Type
Individual
Gender
Male
Address
751 S Bascom Ave, San Jose, CA, 95128-2699
Phone Number
631-689-8333
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
751 S Bascom Ave
City
State
Zip
95128-2699
Phone Number
631-689-8333
Fax Number
person
Provider Business Mailing Address Details
Address
751 S Bascom Ave
City
State
Zip
95128-2699
Phone Number
631-689-8333
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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