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Individual
LAKSHMI A. MADDURU
Active
Individual
LAKSHMI A. MADDURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1013282
MA
207Q00000X
Family Medicine Physician
24167
WV
207Q00000X
Family Medicine Physician
MD433112
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD433112
PA
Other
Enumeration date
12/21/2007
Last updated
02/21/2023
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