Individual
VIJAYA LAKSHMI ATLURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 HICKSVILLE RD, BETHPAGE, NY 11714-3415
(516) 937-3511
(516) 937-1011
Mailing address
530 HICKSVILLE RD, BETHPAGE, NY 11714-3415
(516) 937-3511
(516) 937-1011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
129920
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
129920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01199917
—
NY
01
—
A400042615
MEDICARE PTAN
NY
Enumeration date
05/31/2006
Last updated
02/19/2021
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