| NPI | 1851392625 |
|---|---|
| Former Name | VIJAYAKIRAN SURAPANENI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R1792) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301061896) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2023-02-27 |