Individual
DR. LEELAKRISHNA NALLAMSHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245-4817
(813) 245-5257
Mailing address
2330 UTAH AVE, EL SEGUNDO, CA 90245-4817
(424) 290-8004
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
ME101248
FL
2085B0100X
Body Imaging Physician
ME101248
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME101248
FL
2085U0001X
Diagnostic Ultrasound Physician
ME101248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118716
—
AL
05
—
281147200
—
FL
Enumeration date
02/06/2007
Last updated
01/20/2025
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