| NPI | 1326234493 |
|---|---|
| Former Name | BAVNA BAGYALAKSHMI GANGADHARAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME110439) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2012-11-27 |