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Contact Information

KIREETI POTU, MD
7 N MAIN ST
SUITE 207
MOUNT CLEMENS, MI48043-5644
 Phone: 586-203-8955
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KIREETI POTU · (Male)

NPI # 1932432622
Status Active
Credentials MD
Entity Individual
Enumeration date 09/11/2009
Last updated 09/11/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301094041
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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