Individual
DR. LAKSHMI VILASITHA KOCHERLAKOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18185 N 83RD AVE STE 107, GLENDALE, AZ 85308-0520
(623) 583-0306
Mailing address
10125 E MEADOW HILL DR, SCOTTSDALE, AZ 85260-9215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61525
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2017
Last updated
07/03/2024
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