Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A 103695 | CA |
Y | 111NI0900X | Internist | A 103695 | CA |
NPI | 1003070012 |
---|---|
Provider Name | Uma Devi Kantamuneni |
First Address | Santa Clara, CA 95051-5948 |
Second Address | Santa Clara, CA 95051-5948 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2008 |
Last Update Date | 20/01/2022 |