Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | E-7135 | AR |
NPI | 1154443372 |
---|---|
Provider Name | Dr. Kalpana P Padala |
First Address | Little Rock, AR 72205-5525 |
Second Address | Little Rock, AR 72205-5525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 06/02/2012 |