| NPI | 1720579451 |
|---|---|
| Former Name | SUPRIYA GUJJAR SURESH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 63464) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 63464) |
| 208000000X Pediatrics (Licence: MA 274397) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-07-09 |