NPI | 1063617868 |
---|---|
Former Name | BHARANI PANDRANGI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX N6557) |
Additional Taxonomies | 281PC2000X Chronic Disease Hospital, Children (Licence: IA 37312) |
282NC2000X General Acute Care Hospital, Children (Licence: IA 37312) | |
Enumeration Date | 2007-06-20 |
Last Update Date | 2014-10-20 |