Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | A142324 | CA |
NPI | 1265775159 |
---|---|
Provider Name | Miss Neelima Krishnapriya Marupudi |
First Address | San Francisco, CA 94143-2549 |
Second Address | Atlanta, GA 30322-1060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 09/06/2016 |