# MRS. SIVA JYOTHIRMAYE GUNDAPANENI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952402547
- **Gender:** F
- **Credential:** PA - C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | C0002000 | MD | — |
| 363AS0400X | Surgical Physician Assistant | PA30031 | DC | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 11/01/2007