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 |