| NPI | 1265442925 |
|---|---|
| Former Name | PADMAJA ATHOTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0904X (Licence: PA MD429986) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.088719) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-09-11 |