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POTHINENI, KOTESWARA RAO       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 8595 PICARDY AVE
SUITE 202
BATON ROUGE LA 70809

Address last updated on 5/1/2023
Phone #: (814) 243-3355
Fax #:
County: NOT OKLAHOMA
License: 37760
Dated: 2/22/2021
Expires: 2/1/2023
Temp. Lic. Issued: 1/27/2021
Temp. Lic. Expires: 3/11/2021
License Type: Medical Doctor
Specialty: Interventional Cardiology
Cardiovascular Disease
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Andhra Med Coll, NTR Univ of Med Sci, Visakhapatnam, AP, India
Graduated: 9 / 1999
CME Year: 2024
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease
AMERICAN BOARD OF INTERNAL MEDICINE - Interventional Cardiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
8595 PICARDY AVE
SUITE 202
BATON ROUGE LA 70809

Phone #: (814) 243-3355
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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