NPI | 1972627446 |
---|---|
Former Name | SRINIVASA REDDY BAKKANNAGARI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX L1523) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L1523) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-32438) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2011-07-29 |