NPI | 1902151624 |
---|---|
Former Name | VENKATA SIDDHARTHA REDDY THAMMINENI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME136545) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060866) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2023-06-19 |