MEDICARE: NAGA VENKATA KRISHNA CHAND POTHINENI M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	E-8434	AR
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	0444715	KS

General Provider Information

NPI Number	:	1437437498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAGA VENKATA KRISHNA CHAND POTHINENI M.D

Provider Business Mailing Address
First Line	:	5100 W 110TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1215
Country	:	US
Telephone Number	:	913-934-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	5100 W 110TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1215
Country	:	US
Telephone Number	:	913-934-4300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2011
Last Update Date	:	08/12/2024

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