Individual
VIJAYA LAKSHMI ALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6014 OLD BRANCH AVENUE, TEMPLE HILLS, MD 20748
(301) 702-6100
Mailing address
2101 EAST JEFFERSON STREET, SUITE 6W PPQA, ROCKVILLE, MD 20852-4908
(301) 816-5858
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
D82198
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2013
Last updated
06/23/2021
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