Provider Demographics
NPI:1225250244
Name:ALLA, SRINIVASA LAKSHMI (MD)
Entity type:Individual
Prefix:
First Name:SRINIVASA
Middle Name:LAKSHMI
Last Name:ALLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 305705
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-5705
Mailing Address - Country:US
Mailing Address - Phone:340-777-8210
Mailing Address - Fax:340-776-9739
Practice Address - Street 1:1603 SIXTH ST
Practice Address - Street 2:SUGAR ESTATE
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2635
Practice Address - Country:US
Practice Address - Phone:340-777-8210
Practice Address - Fax:340-776-9739
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI604208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice