Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 0101045815 | VA |
NPI | 1063568061 |
---|---|
Provider Name | Lalitha S Rambhala |
First Address | Alexandria, VA 22305-2938 |
Second Address | Alexandria, VA 22305-2938 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 08/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E99339 | (02) | VA |