Prashanth Pothem in Leesville - Family Medicine
Prashanth Pothem - NPI 1619123890
Prashanth Pothem is a Family Medicine in Leesville, Louisiana. Prashanth Pothem practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Prashanth Pothem is 1619123890. The last update date is 2011-10-03.
Prashanth Pothem's current location address is 1201 W Fertitta Blvd, Leesville, Louisiana. You can contact this provider via phone number 2486350979 and fax number 3373926206. The mailing address for Prashanth Pothem is 1201 W Fertitta Blvd, Leesville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Prashanth Pothem |
|---|---|
| Address | 1201 W Fertitta Blvd, Leesville, Louisiana |
| Phone Number | 2486350979 |
| Fax Number | 3373926206 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619123890 |
|---|---|
| Provider Enumeration Date | 2008-08-07 |
| Last Updated Date | 2011-10-03 |
Provider Mailing Address Detail
| Address | 1201 W Fertitta Blvd |
|---|---|
| City | Leesville |
| State | Louisiana (LA) |
| Post Code | 714464637 |
| Phone Number | 2486350979 |
| Fax Number | 3373926206 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 204696 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Prashanth Pothem by the Centers for Medicare & Medicaid Services?
The Prashanth Pothem has been issued the NPI (National Provider Identifier) 1619123890, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Prashanth Pothem's facilities are geographically located?
The facilities of Prashanth Pothem are physically situated at the following location: 1201 W Fertitta Blvd, Leesville, LA, 714464637.
What is the Prashanth Pothem's specialty and taxonomy code?
The Prashanth Pothem's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619123890 to Prashanth Pothem?
The Prashanth Pothem received its 1619123890 assignment from the Centers for Medicare & Medicaid Services on 2008-08-07.
When was the information related to Prashanth Pothem most recently updated or refreshed?
The details pertaining to the Prashanth Pothem, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-03.
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