Provider Demographics
NPI:1831987064
Name:POTRU, MONICA (MBBS/MD)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:POTRU
Suffix:
Gender:
Credentials:MBBS/MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FLAT NO:69, SHREE A WAS APARTMENT, DWARKA SECTOR 18
Mailing Address - Street 2:
Mailing Address - City:NEW DELHI
Mailing Address - State:NEW DELHI
Mailing Address - Zip Code:110075
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ONE MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157
Practice Address - Country:US
Practice Address - Phone:336-716-0423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program