NPI | 1609491661 |
---|---|
Former Name | AMIRTHA DEVI KANAKAMEDALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 10128117) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020016513) |
207R00000X Internal Medicine (Licence: VA 10128117) | |
Enumeration Date | 2020-06-15 |
Last Update Date | 2024-10-24 |