Individual
DHAATRI KUCHIPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101024282
MI
208000000X
Pediatrics Physician
Primary
T1130
TX
208M00000X
Hospitalist Physician
T1130
TX
Other
Enumeration date
06/12/2018
Last updated
04/17/2024
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