Individual
PRAKRUTI REDDY JAMBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-3149
Mailing address
3827 BROOKMERE PL, MASON, OH 45040-3029
(513) 435-3989
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.091930
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
35.091930
OH
Other
Enumeration date
02/12/2007
Last updated
06/01/2011
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