Nomita Jairaj Pothuluri MD

NPI 1013070754 - Family Medicine - 207Q00000X

NPI Details
NPI 1013070754
Gender Female
Enumeration Date 12/17/2006
Last Updated 08/04/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4303 VICTORY DRIVE
AUSTIN TX, 78704-7507, US
Phone (512) 462-3627
Fax (512) 462-3431
Business Location
4303 VICTORY DRIVE
AUSTIN TX, 78704-7507, US
Phone (512) 462-3627
Fax (281) 358-2373
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number L2561
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According to our database, Dr. Nomita Jairaj Pothuluri MD NPI is 1013070754, taxonomy code is 207Q00000X and license number is L2561, license state is located at Texas. Nomita Jairaj Pothuluri MD physically located at 4303 Victory Drive, Austin TX, 78704-7507. NPI Number Nomita Jairaj Pothuluri MD has the Individual type.

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1013070754 NPI number is provided on an as is basis without warranty of any kind. 1013070754 is maintained by the National Plan & Provider Enumeration System. The contents of Nomita Jairaj Pothuluri MD are for informational purposes only.