Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 036128067 | IL |
Y | 2080P0202X | Pediatric Cardiologist | 04-40548 | KS |
N | 2080P0202X | Pediatric Cardiologist | 2017042147 | MO |
NPI | 1225203821 |
---|---|
Provider Name | Lalitha Devi Gopineti Lokanathudu |
First Address | Kansas City, MO 64108-4619 |
Second Address | Wichita, KS 67208-3005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 02/05/2018 |