| 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 |