| NPI | 1063767531 | 
|---|---|
| Former Name | VANDANA POTARAJU | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301101641)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD177204)  | 
| Enumeration Date | 2012-07-19 | 
| Last Update Date | 2019-01-23 |