| NPI | 1689135022 |
|---|---|
| Former Name | SHAAN TADEPALLI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 157339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA11465800) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2026-08-26 |