| NPI | 1013394261 |
|---|---|
| Former Name | AMY MADURAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036163192) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.141726) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2025-02-19 |