| Doctor Name: | AMUDHA PALANI |
| NPI Number: | 1952428682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 0101240408 |
| Business Practice Address: | 12655 Warwick Blvd Suite A Newport News, VA - 236062501 |
| Business Phone Number: | 7575959880 |
| Business Fax Number: | 7575950362 |
| Mailing Address: | 860 Omni Blvd, Suite #303 NEWPORT NEWS |
| State: | VA |
| Postal Code: | 23602 |
| Phone Number: | 7572328777 |
| Fax Number: | 7572328866 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 08/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101240408 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |