Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 37177 | AL |
NPI | 1043634991 |
---|---|
Provider Name | Malapuram Vasudha Reddy |
First Address | Huntsville, AL 35804-2705 |
Second Address | Huntsville, AL 35801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2014 |
Last Update Date | 31/07/2018 |