Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD044336 | DC |
Y | 111NI0900X | Internist | MD044336 | DC |
NPI | 1003059437 |
---|---|
Provider Name | Ms. Sruthi Nukalapati Reddy |
First Address | Washington, DC 20007 |
Second Address | Washington, DC 20007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2009 |
Last Update Date | 17/08/2016 |