Individual
LIKITHA KANUGANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 WATERFORD DR, MECHANICSBURG, PA 17050-8268
(717) 591-3630
(717) 591-3631
Mailing address
2132 WALLACE AVE, APT 242, BRONX, NY 10462-2573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
295169
NY
207R00000X
Internal Medicine Physician
MD470290
PA
Other
Enumeration date
12/09/2015
Last updated
01/19/2021
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