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Contact Information

ASHOK POTHULA
717 ENCINO PL NE STE 1
ALBUQUERQUE, NM87102-2621
 Phone: 505-243-3777
 Fax: 505-212-0888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Compounded Sterile Preparations

1835C0207X
Indicates primary specialty

NPI Profile & details for ASHOK POTHULA · (Male)

NPI Number 1679338586
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2024
Last updated 02/20/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NM License # RP00008473
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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