NPI | 1023190469 |
---|---|
Former Name | SUPRIYA MADDIRALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD 28660) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60054413) |
207RN0300X Internal Medicine, Nephrology (Licence: KY 54992) | |
Enumeration Date | 2006-10-19 |
Last Update Date | 2024-11-22 |