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Individual

LAKSHMI C. TEGULAPALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
100 W CALIFORNIA BLVD, RADIOLOGY DEPT., PASADENA, CA 91105-3010
(626) 397-5139
(626) 447-1058
Mailing address
223 N 1ST AVE, SUITE 201, ARCADIA, CA 91006-7027
(626) 698-7246
(626) 447-1058

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A10297
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20A102970
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
12/01/2005
Last updated
10/21/2014
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