| NPI | 1972709269 |
|---|---|
| Former Name | KAVITA VIJAYAM TANGUTURI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2011-00578) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2016-05-02 |