Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | A120992 | CA |
N | 207SG0201X | Clinical Genetics (M.D.) | MD425058 | PA |
NPI | 1336339555 |
---|---|
Provider Name | Himabindu Gaddipati |
First Address | San Diego, CA 92123-2737 |
Second Address | San Diego, CA 92123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 28/11/2012 |