Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT201826 | PA |
N | 2084N0402X | Child Neurologist | 25MA10461900 | NJ |
Y | 2084N0402X | Child Neurologist | 303528-01 | NY |
N | 2084N0402X | Child Neurologist | C1-0012964 | DE |
NPI | 1245591833 |
---|---|
Provider Name | Dr. Aparna Venkata Ramarao Polavarapu |
First Address | Wilmington, DE 19806-3114 |
Second Address | Bronx, NY 10467-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2012 |
Last Update Date | 14/05/2020 |