Individual
VIJAYA LAKSHMI GUDAPATI
Active
Individual
VIJAYA LAKSHMI GUDAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051941
GA
207R00000X
Internal Medicine Physician
25MA07481900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52212638001
BCBS - GA
GA
05
—
815814465A
—
GA
Enumeration date
07/30/2006
Last updated
10/22/2013
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