Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A99796 | CA |
Y | 111NI0900X | Internist | A99796 | CA |
NPI | 1003080243 |
---|---|
Provider Name | Dr. Arunasri Kelleti |
First Address | San Jose, CA 95125-5212 |
Second Address | San Jose, CA 95125-5212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2008 |
Last Update Date | 03/03/2015 |