Individual
DR. VAMSEE MOHANA LAKKAKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
111 MEDICAL PKWY FL 2, CHESAPEAKE, VA 23320-0302
(757) 312-4047
(757) 410-0339
Mailing address
111 MEDICAL PKWY FL 2, CHESAPEAKE, VA 23320-0302
(757) 312-4047
(757) 410-0339
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101283205
VA
207RC0000X
Cardiovascular Disease Physician
2023-02240
NC
207RC0000X
Cardiovascular Disease Physician
310853
NY
Other
Enumeration date
04/28/2015
Last updated
10/03/2024
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