NPI | 1275899494 |
---|---|
Former Name | DEEPTHI VENKATA LOMADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 70091-20) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-42809) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2021-12-07 |