Organization Active NPI

Sudhir C Potluri OB/GYN PC

  • Obstetrics & Gynecology Physician
  • Utica, NY
National Provider Identifier
1093956963
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
185337-1 Issued in NY
Legal business name
SUDHIR C POTLURI OB/GYN PC
Practice address
1656 Champlin Ave
221
Utica, NY 13502-4830
Phone
(315) 266-0088
Fax
(315) 266-0090
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sudhir C Potluri, M.D.
Title
President
Phone
(315) 266-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 185337-1 NY Primary

Addresses

Primary practice location

1656 Champlin Ave
221
Utica, NY 13502-4830

Mailing address

1656 Champlin Ave
221
Utica, NY 13502-4830
Phone (315) 266-0088

National Provider Directory

National Provider Directory

Locations

1656 Champlin Ave
Ste 221
Utica, NY 13502
Phone (315) 266-0088

1656 Champlin Ave
#221
Utica, NY 13502
Phone (315) 266-0088

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1093956963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "address_2": "221",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-266-0088",
            "fax_number": "315-266-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "address_2": "221",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-266-0088",
            "fax_number": "315-266-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHIR C POTLURI OB/GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "POTLURI",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-266-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "185337-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.