Individual
LAKSHMI GANTI GOUDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 KEMPSVILLE RD STE 100E, NORFOLK, VA 23502-3920
(757) 261-4121
Mailing address
850 KEMPSVILLE RD STE 100E, NORFOLK, VA 23502-3920
(757) 261-4121
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101247175
VA
390200000X
Student in an Organized Health Care Education/Training Program
0101247175
VA
390200000X
Student in an Organized Health Care Education/Training Program
141516
NC
Other
Enumeration date
05/12/2008
Last updated
07/09/2024
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