DR. SURESH POTLURI


Address: 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650
Phone: 2693499745

DR. SURESH POTLURI (NPI# 1871757708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871757708
Entity Type Individual
Full Name DR. SURESH POTLURI
Credential M.D.
Practice Address 1535 Gull Rd
Suite 150
Kalamazoo
MI 49048-1650
Mailing Address 1521 Gull Rd
Suite 150
Kalamazoo
MI 49048-1640
Practice Telephone 2693499745
Practice Fax Number 2693497378
Mailing Telephone 2693499745
Mailing Fax Number 2693497378
Enumeration Date 2008-07-10
Last Update Date 2020-10-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 4301093703 MI Other Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD 340C910480 01
MI 1871757708 05

Office Location

Street Address 1535 GULL RD
SUITE 150
City KALAMAZOO
State MI
Zip Code 49048-1650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649273855 Umakant Shivlal Doctor Internal Medicine 1535 Gull Rd, Ste 110, Kalamazoo, MI 49048-1630 2005-05-23
1417489931 Katheryn Elisabeth Clark Advanced Practice Midwife 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 2017-04-03
1649714452 Susan Doan Physician Assistant 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 2016-12-13
1144673070 Kristen Dib Advanced Practice Midwife 1535 Gull Rd, Kalamazoo, MI 49048-1650 2016-07-15
1366897670 Kalamazoo Acute Care Specialists Plc Emergency Medicine 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 2016-04-25
1841670510 Elizabeth Bobo Nurse Practitioner 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 2015-06-08
1194163246 Tabitha Jane Ewert Physician Assistant 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1650 2013-06-11
1578858676 Michael Robert Mcbride Emergency Medicine 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 2011-06-16
1295979474 Lewis Jeremy Johnson Surgery 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 2009-05-01
1134361215 Michael Lee Adix II Radiology 1535 Gull Rd, Suite #200, Kalamazoo, MI 49048-1650 2009-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790214146 Sally Leigh Weigandt Technician, Other 5438 Lucerne Ave, Kalamazoo, MI 49048 2017-06-08
1437606670 Amanda Ezekiel Advanced Practice Midwife 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 2016-09-06
1700238987 Brittany Bittenbender Technician, Other 5840 E Cork St, Kalamazoo, MI 49048 2016-07-12
1255747176 Araena Payton Early Intervention Provider Agency 1313 Hotop Ave, Kalamazoo, MI 49048 2014-07-11
1508297151 Hope Network Eastwood House Residential Treatment Facility, Physical Disabilities 2236 Brook Drive, Kalamazoo, MI 49048 2013-12-09
1457780314 Hope Network Rehabilitation Servicesq Residential Treatment Facility, Physical Disabilities 2236 Brooke Drive, Kalamazoo, MI 49048 2013-11-01
1467889576 Aaron Van Heest Social Worker 813 Chrysler St., Kalamazoo, MI 49048 2013-10-03
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1356523229 Borgess Medical Center Psychiatry & Neurology 1521 Gull Road, Kalamazoo, MI 49048 2007-12-03
1629290135 Robert Claude Gano Dentist 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 2007-05-03
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174913420 Teesha Lynn Bancroft Specialist 329 S Sage St, Kalamazoo, MI 49006 2015-01-26
1003213893 Body Center Kalamazoo Specialist 2042 W Main St, Kalamazoo, MI 49006-3041 2014-11-23
1407263916 Troy Lebiecki Specialist 6126 Crestwood Ave, Kalamazoo, MI 49048-9444 2014-07-16
1629343884 Shannon Leigh Oehmke Specialist 8145 Waterwood Dr, Kalamazoo, MI 49048-9260 2012-03-20
1962661470 Amanda R Edgar Specialist 910 Pinehurst Blvd, Kalamazoo, MI 49006-2111 2008-06-09
1538204169 Oncology & Hematology PC Specialist 5010 Gull Rd Ste A, Kalamazoo, MI 49048-1093 2007-02-21
1609929587 Jennifer Jean Chowaniec Gormley Specialist 5385 Swallow Ave, Kalamazoo, MI 49009-4501 2007-01-22
1245248756 Jennifer Jones Hollings Specialist 1535 Gull Rd Ste 250, Kalamazoo, MI 49048-1661 2006-08-03
1841216355 Premier Medical Care PC Specialist 1722 Gull Rd, Suite 1b, Kalamazoo, MI 49048-1644 2006-07-15
1730137720 Alan Colestock Specialist 7000 Portage Rd, Kalamazoo, MI 49001-0102 2006-05-04
Find all providers in KALAMAZOO

Competitor

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City KALAMAZOO
Zip Code 49048

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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