Pothen C Koruth, MD

NPI #1093768400 in Lake Mary, Florida

Provider Information

NPI Number: 1093768400
Entity Type: Individual
Name: Pothen C Koruth, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 18, 2006
Last Updated: Mar 16, 2022

Practice Location

Address: 758 N SUN DR
Address 2: ST # 104
City: Lake Mary
State: Florida
ZIP Code: 32746-2599
Phone: (407) 333-3303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Internal Medicine	207R00000X	Primary

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