Individual
VIJAYA BHARATHI SANIKOMMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD427987
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021870550001
—
PA
05
—
2863147
—
OH
05
—
3810012737
—
WV
Enumeration date
05/23/2008
Last updated
10/02/2020
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