| NPI | 1063671600 |
|---|---|
| Former Name | PRAKASH DEEPA BANGALORE SURYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N0628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 242789) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2015-09-01 |