NPI | 1811173867 |
---|---|
Former Name | PADMINI KAVITHA TOTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08344000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 248242) |
207R00000X Internal Medicine (Licence: PA MD432958) | |
Enumeration Date | 2008-01-20 |
Last Update Date | 2019-03-15 |