| NPI | 1629198171 |
|---|---|
| Former Name | KAVITHA KUNDHARAPU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA A96430) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: CA A96430) |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA A96430) | |
| 281P00000X Chronic Disease Hospital (Licence: CA A96430) | |
| 282E00000X (Licence: CA A96430) | |
| 282N00000X General Acute Care Hospital (Licence: CA A96430) | |
| 291U00000X Clinical Medical Laboratory (Licence: CA A96430) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: CA A96430) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-02-11 |