Healthcare Provider Details

I. General information

NPI: 1003313511
Provider Name (Legal Business Name): NEEHARIKA THOTTEMPUDI MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 W GIBSON RD
WOODLAND CA
95695-5169
US

IV. Provider business mailing address

632 W GIBSON RD
WOODLAND CA
95695-5169
US

V. Phone/Fax

Practice location:
  • Phone: 530-668-2600
  • Fax:
Mailing address:
  • Phone: 530-668-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA206112
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: