NPI | 1669702155 |
---|---|
Former Name | BHAVANI VUNNAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17387) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01067230A) |
207Q00000X Family Medicine (Licence: AZ 43036) | |
Enumeration Date | 2010-01-05 |
Last Update Date | 2024-09-24 |