| NPI | 1255688461 |
|---|---|
| Former Name | SWETHA NANDANAVANA SUBBAREDDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-42640) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT201901) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: IA MD 42640) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2018-03-17 |