| NPI | 1386620870 |
|---|---|
| Former Name | PRASANTHI CHAMAKURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME9115) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME91195) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2013-11-12 |