NPI | 1659567055 |
---|---|
Former Name | AMITHA REDDY MORANGANTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-01593) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185944) |
208M00000X Hospitalist (Licence: NC 2012-01593) | |
Enumeration Date | 2007-09-19 |
Last Update Date | 2021-03-30 |