Individual
DR. SHRAVANA DEEPTHI GUDIVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125068551
IL
2084N0400X
Neurology Physician
Primary
MD61036197
WA
Other
Enumeration date
06/24/2016
Last updated
09/06/2023
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