| NPI | 1295313484 |
|---|---|
| Former Name | SPANDANA MADDUKURI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD225768) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2025-08-29 |