| NPI | 1477625788 |
|---|---|
| Former Name | SUPARNA PANDU BONTHALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101057865) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-10-17 |