Individual
LAKSHMI KORIPELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-4195
Mailing address
5555 W THUNDERBIRD RD DEPT OF, GLENDALE, AZ 85306-4622
(602) 865-4195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60694
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
60694
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2016
Last updated
04/25/2022
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