Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A44785 | CA |
NPI | 1003892316 |
---|---|
Provider Name | Lingaiah Janumpally |
First Address | Lancaster, CA 93534-7095 |
Second Address | Lancaster, CA 93534-7095 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 21/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A447850 | (05) | CA |
E83148 | (02) |