| NPI | 1669664009 |
|---|---|
| Former Name | CHETHANA CHANDRUPATLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301108548) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME116448) |
| 207N00000X Dermatology (Licence: IL 036.122055) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2018-08-22 |