| NPI | 1629073606 |
|---|---|
| Former Name | SRIDEVI DONEPUDI REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011878) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036108481) |
| 207Q00000X Family Medicine (Licence: KS 04-32448) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2016-11-02 |