Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | DRN01001207 | CA |
NPI | 1801343215 |
---|---|
Provider Name | Swaroop Aradhya |
First Address | Mountain View, CA 94040-2964 |
Second Address | Palo Alto, CA 94304-1204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 01/09/2016 |