SUDHIR C POTLURI OB/GYN PC
Medical Practice at Champlin Ave, Utica, NY

License number
New York 185337-1
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: DR. SUDHIR C POTLURI M.D.
Title: PRESIDENT
Phone: (315) 266-0088
Address
Address
1656 Champlin Ave, Utica, NY 13502
National Provider ID: 1093956963
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUDHIR C. POTLURI, OB/GYN, PC

Utica, NY

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Mar 15, 2001
Inactive since:
Apr 10, 2013
Addresses:
1656 Champlain Ave SUITE 221, Utica, NY 13502 (Physical)
1656 Champlain Ave STE 221, Utica, NY 13502 (Physical)
State ID:
2616948
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Sudhir C Potluri, 1656 Champlain Ave STE 221, Utica, NY 13502 (Physical)

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