Individual
LAKSHMA REDDY GUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 N BROOKLINE AVE, SUITE 900, OKLAHOMA CITY, OK 73112-3623
(405) 604-3170
(405) 604-3163
Mailing address
5100 N BROOKLINE AVE, SUITE 900, OKLAHOMA CITY, OK 73112-3623
(405) 604-3170
(405) 604-3163
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22143
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200004240A
—
OK
Enumeration date
03/14/2006
Last updated
11/12/2010
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