NPI | 1679627467 |
---|---|
Other Name | JALAJA BETTADPUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M2766) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M2766) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2013-10-03 |