Individual
TIRUMALA LAKSHMI KUMARI PENTAKOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
245 N 15TH ST, MAIL STOP 435, PHILADELPHIA, PA 19102-1101
(215) 762-1179
Mailing address
245 N 15TH ST, MAIL STOP 435, PHILADELPHIA, PA 19102-1101
(215) 762-1179
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT196109
PA
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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