Individual
VIKRAM LAKIREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 MERCY AVE, MERCED, CA 95340
(209) 383-3456
(209) 722-6084
Mailing address
310 MERCY AVE, MERCED, CA 95340-8319
(209) 383-3456
(209) 722-6084
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A106494
CA
207RI0011X
Interventional Cardiology Physician
A106494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043810
—
CA
Enumeration date
02/08/2007
Last updated
10/24/2019
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