Individual
DR. LALITHA GUTHIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8810 HIGHWAY 6, SUITE 100, MISSOURI CITY, TX 77459-7104
(832) 325-7080
(713) 512-2239
Mailing address
11914 ASTORIA BLVD, STE 400, HOUSTON, TX 77089-6049
(832) 325-7080
(713) 512-2239
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P4056
TX
2084N0600X
Clinical Neurophysiology Physician
P4056
TX
2084P0804X
Child & Adolescent Psychiatry Physician
P4056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332623302
—
TX
01
—
332623303
CSHCN
TX
01
—
8FZ619
BCBS
TX
Enumeration date
08/27/2007
Last updated
05/09/2018
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