Ashwini Potharam

NPI #1184474785 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1184474785
Entity Type: Individual
Name: Ashwini Potharam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 26, 2024
Last Updated: Mar 26, 2024

Practice Location

Address: 1600 W 40TH AVE
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-6301
Phone: (870) 541-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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