| NPI | 1548503543 | 
|---|---|
| Former Name | LEKHA KOPPOLU MUKKAMALA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NC 2024-01714)  | 
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A148705)  | 
| 207WX0107X Ophthalmology, Retina Specialist (Licence: NJ 25MA10541500)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-28 | 
| Last Update Date | 2024-10-31 |