Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A68832 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A68832 | CA |
NPI | 1114981255 |
---|---|
Provider Name | Subhashini J Ladella |
First Address | Fresno, CA 93721-1431 |
Second Address | Clovis, CA 93611-6886 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 08/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H16788 | (02) |