| NPI | 1073804969 |
|---|---|
| Former Name | SRIVIDYA THULLURU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 73185) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 73185) |
| 208M00000X Hospitalist (Licence: GA 073185) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: GA 73185) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2026-07-16 |