Provider Demographics
NPI:1326913476
Name:POTLA, VAMSI KRISHA (MD)
Entity type:Individual
Prefix:MR
First Name:VAMSI
Middle Name:KRISHA
Last Name:POTLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15-13-71, ROAD NUMBER: 9, BANK COLOLNY
Mailing Address - Street 2:
Mailing Address - City:KHAMMAM
Mailing Address - State:TELENGANA
Mailing Address - Zip Code:507002
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2225 EVESHAM ROAD VIRTUA HEALTH
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-325-3737
Practice Address - Fax:856-325-3705
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program