Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | D0062945 | MD |
NPI | 1285668491 |
---|---|
Provider Name | Suneetha Budampati |
First Address | Hunt Valley, MD 21031 |
Second Address | Arlington, VA 22206-3603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 26/07/2021 |