| NPI | 1982761417 |
|---|---|
| Former Name | PRAVEENA GANNI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0066902) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD P19619) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-11-02 |