Organization
VEENA H KUPPALLI
Active
Other names
VEENAS HISTOLOGY LAB
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE ADAMS (OFFICE MANAGER)
(209) 575-4575
Entity
Organization
Contact information
Practice address
14414 LIDDICOAT CIR, LOS ALTOS, CA 94022-1851
(209) 575-4575
(209) 575-4598
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(209) 575-4575
(209) 575-4598
Taxonomy
Speciality
Code
Description
License number
State
246QH0600X
Histology Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
02/07/2011
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