Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 205629 | NY |
NPI | 1043375314 |
---|---|
Provider Name | Dr. Sudha Lakshmi Akkapeddi |
First Address | Blauvelt, NY 10913-1247 |
Second Address | Bronx, NY 10462-3388 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 18/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01896859 | (05) | NY |
22Z231 | (02) | NY |