| NPI | 1619949773 |
|---|---|
| Former Name | SHAILAJA R BODAPATLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 058819) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME125791) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2016-06-23 |