Individual
MAMATHA KADIYALA
Active
Individual
MAMATHA KADIYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
223247
MA
207L00000X
Anesthesiology Physician
97285
GA
207L00000X
Anesthesiology Physician
U2239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110041533A
—
MA
Enumeration date
11/02/2005
Last updated
12/14/2023
Update your record
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