Provider Demographics
NPI:1508414707
Name:ATTHOTA, SRI LAKSHMI (MD)
Entity Type:Individual
Prefix:
First Name:SRI LAKSHMI
Middle Name:
Last Name:ATTHOTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BROOKDALE UNIVERSITY HOSPITAL,ROOM 222
Mailing Address - Street 2:CHC, ONE BROOKDALE PLAZA,
Mailing Address - City:BROOKLYN ,NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11212
Mailing Address - Country:US
Mailing Address - Phone:718-240-6386
Mailing Address - Fax:
Practice Address - Street 1:BROOKDALE UNIVERSITY HOSPITAL,ROOM 222
Practice Address - Street 2:CHC, ONE BROOKDALE PLAZA,
Practice Address - City:BROOKLYN ,NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-6386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program