| NPI | 1447546403 |
|---|---|
| Former Name | MALAVIKA BANDARI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CT 054259) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: MA 274981) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-09-27 |