Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | A135049 | CA |
NPI | 1033475702 |
---|---|
Provider Name | Meena Kadapakkam |
First Address | Dallas, TX 75235-7701 |
Second Address | Long Beach, CA 90806-1701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2012 |
Last Update Date | 25/08/2020 |