| NPI | 1043261746 |
|---|---|
| Former Name | BHAVANA JAKKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07822300) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA07822300) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2015-06-09 |