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Dr. Chandana Potaraju, MD
Student in an Organized Health Care Education/Training Program in East Patchogue, New York
NPI 1326501909

Chandana Potaraju is a Student in an Organized Health Care Education/Training Program based in Dublin, NY. Chandana Potaraju practices in East Patchogue, NY and has the professional credentials of MD. The NPI Number for Chandana Potaraju is 1326501909 and holds a License No. (New York).

The current practice location address for Chandana Potaraju is 100 Hospital Rd Ste 201, East Patchogue, NY and can be reached out via phone at 631-475-6900.

Location: 100 Hospital Rd Ste 201, East Patchogue, NY, 43016-7926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326501909
Provider Name
Chandana Potaraju
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 Hospital Rd Ste 201, East Patchogue, NY, 43016-7926
Phone Number
631-475-6900
Fax Number
Provider Enumeration Date
04/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Hospital Rd Ste 201
City
East Patchogue
State
New York
Zip
11772-8814
Phone Number
631-475-6900
Fax Number
person
Provider Business Mailing Address Details
Address
100 Hospital Rd Ste 201
City
East Patchogue
State
New York
Zip
11772-8814
Phone Number
631-475-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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