Active NPIIndividual provider

Prathibha Potharlanka, MD

Hospitalist in Willingboro, New Jersey

NPI Number1295761690
Practice location
218 Sunset RD, Willingboro, NJ 08046-1110
Fax
856-566-2797
Last updated
September 6, 2016

Prathibha Potharlanka is a Hospitalist based in Willingboro, NJ. Prathibha Potharlanka practices in Willingboro, NJ and has the professional credentials of MD. The NPI Number for Prathibha Potharlanka is 1295761690 and holds a License No. 25MA07690100 (NJ). The current practice location address for Prathibha Potharlanka is 218 Sunset RD, Willingboro, NJ 08046-1110 and can be reached out via phone at 609-835-2900 and via fax at 856-566-2797.

Provider Profile Details

NPI Number
1295761690
Provider Name
Prathibha Potharlanka
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
218 Sunset RD, Willingboro, NJ 08046-1110
Phone Number
609-835-2900
Fax Number
856-566-2797
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2006
Last Update Date
September 6, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
218 Sunset RD
Willingboro, NJ 08046-1110
Zip
08046-1110
Phone Number
609-835-2900
Fax Number
856-566-2797
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
30 Belmont Cir
Columbus, NJ 08022-9714
City
Columbus
State
NJ
Zip
08022-9714
Phone Number
609-789-0800
Fax Number
609-298-0491

License Information

License Number (1)
25MA07690100
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA07690100
License State (2)
NJ
Taxonomy (2)
Hospitalist · 208M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Prathibha Potharlanka, MD?

The NPI number of Prathibha Potharlanka, MD is 1295761690. It was assigned on June 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Prathibha Potharlanka, MD?

Prathibha Potharlanka, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in NJ under license number 25MA07690100.

Where does Prathibha Potharlanka, MD practice?

The practice location is 218 Sunset RD, Willingboro, NJ 08046-1110. The office can be reached at 609-835-2900 (phone) or 856-566-2797 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295761690 directly on the NPPES registry website.

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