Krishnan Potti, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01025043A Issued in IN

Legal business name

KRISHNAN POTTI, M.D.

Practice address

8300 Broadway Ste B
Merrillville, IN 46410-8602

Phone

(219) 769-4616

Fax

(219) 736-0719

NPI assigned

Nov 1, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Therese A Hines

Title

Billing Supervisor

Phone

(219) 769-4616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1669651105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY STE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108602",
            "telephone_number": "219-769-4616",
            "fax_number": "219-736-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BROADWAY STE B",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108602",
            "telephone_number": "219-769-4616",
            "fax_number": "219-736-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNAN POTTI, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "219-769-4616",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01025043A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander H Kouklakis, O.D.
• Breanne Kowalski, FNP-C
• Clark Kramer, M.D.
• Kelly Jo Kraus, RPH
• Jean Racquel Krause, RN, IBCLC
• Agnieszka Krynska-Wozniak, PT
• Michael Edward Kucharzak
• Justin William Kucsera, O.D.
• David John Kujawa, LCSW
• Abdulkader M Kulam, M.D.

• Internal Medicine Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.