Doctor Name: | SRINIVASA LAKSHMI ALLA |
NPI Number: | 1225250244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 604 |
Business Practice Address: | 1603 Sixth St Sugar Estate St Thomas, VI - 008022635 |
Business Phone Number: | 3407778210 |
Business Fax Number: | 3407769739 |
Mailing Address: | Po Box 305705, ST THOMAS |
State: | VI |
Postal Code: | 008035705 |
Phone Number: | 3407778210 |
Fax Number: | 3407769739 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |