Individual
VINODHINI NAMRATHA GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3143
(484) 337-4097
Mailing address
5105 WINDY HOLLOW CT, GLEN ALLEN, VA 23059-7535
(804) 314-7806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS020781
PA
208M00000X
Hospitalist Physician
Primary
OS020781
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT017873
PA
Other
Enumeration date
05/15/2017
Last updated
03/11/2022
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