Provider Demographics
NPI:1265665996
Name:MUDAMBI, LAKSHMI (MB,BS)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:
Last Name:MUDAMBI
Suffix:
Gender:F
Credentials:MB,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MUNGER PAVILLION, ROOM 253
Mailing Address - Street 2:NEW YORK MEDICAL COLLEGE, DEPRTMENT OF MEDICINE
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-0914
Mailing Address - Country:US
Mailing Address - Phone:214-549-8031
Mailing Address - Fax:
Practice Address - Street 1:95 GRASSLANDS ROAD
Practice Address - Street 2:WESTCHESTER MEDICAL CENTER
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-0914
Practice Address - Country:US
Practice Address - Phone:914-493-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program