Individual
DR. MAITHREYI VALLABHAJOSYULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV 7688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TUV 7688
LICENSE NUMBER
NY
Enumeration date
08/08/2011
Last updated
08/08/2011
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