MADHU M POTLA

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Dr MADHU M POTLA is a female medical professional, specializing in Internal Medicine. She graduated in 1994.

Contact

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

4855 SW WESTERN AVE
BEAVERTON
OR
970053460

Tel: 5036437565

MADHU M POTLA Information

Npi 1457386583
Pac Id 8224176987
Professional Enrollment Id I20091117000704
Last Name POTLA
First Name MADHU
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1994
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Group Practice Pac Id 5799688230
Number Of Group Practice Members 1287
Line 1 Street Address 4855 SW WESTERN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BEAVERTON
State OR
Zip Code 970053460
Phone Number 5036437565
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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