NPI | 1306429428 |
---|---|
Former Name | SARADA VINEELA KUPPIREDDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 0611) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD 00000) |
Enumeration Date | 2021-05-05 |
Last Update Date | 2023-12-26 |