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NPI Code Detail

MEDICARE: AVIN POTHULOORI M.D.

MEDICARE: AVIN POTHULOORI 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RE0101XEndocrinology, Diabetes & Metabolism Physician2016030319MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01775520OTHERRAILROAD MEDICARE

General Provider Information

NPI Number : 1245523141
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVIN POTHULOORI M.D.
Provider Business Mailing Address
First Line : 2790 CLAY EDWARDS DR STE 1250
Second Line : C/O HELLMAN & ROSEN ENDOCRINE
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3260
Country : US
Telephone Number : 816-421-3700
Fax Number : 816-421-1654
Provider Business Practice Location Address
First Line : 2790 CLAY EDWARDS DR STE 1250
Second Line : C/O HELLMAN & ROSEN ENDOCRINE
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3260
Country : US
Telephone Number : 816-421-3700
Fax Number : 816-421-1654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2011
Last Update Date : 05/22/2017

Similar Medicare Providers

1437193133 — DEBRA E MCCONVILLE ARNP, BC, CDE
Practice Location Address:
2790 CLAY EDWARDS DR STE 1250 , C/O HELLMAN & ROSEN ENDOCRINE
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1922042696 — DR. HOWARD M ROSEN M.D.
Practice Location Address:
2790 CLAY EDWARDS DR , SUITE 1250
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Practice Fax: 816-421-1654
1942244553 — DR. RICHARD HELLMAN M.D.
Practice Location Address:
2790 CLAY EDWARDS DR , SUITE 1250
NORTH KANSAS CITY, MO
64116-3260
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1114961778 — HELLMAN & ROSEN ENDOCRINE ASSOCIATES, PC
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1508802893 — DR. PHILLIP O PEGG JR. PH.D
Practice Location Address:
2790 CLAY EDWARDS DR STE 1250 , C/O HELLMAN & ROSEN ENDOCRINE
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64116-3260
Practice Phone: 816-421-3700
Practice Fax: 816-421-1654
1952634297 — RYANE MERIDYTH RIDDLE APRN
Practice Location Address:
2790 CLAY EDWARDS DR STE 1250
NORTH KANSAS CITY, MO
64116-3260
Practice Phone: 816-421-3700
Practice Fax: 816-421-1654

Directions to “ AVIN POTHULOORI M.D.” Practice Location

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