Provider Demographics
NPI:1790986214
Name:GUTTIKONDA, LAKSHMINARAYANA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMINARAYANA
Middle Name:
Last Name:GUTTIKONDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WARREN ST
Mailing Address - Street 2:APT 1050
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1366
Mailing Address - Country:US
Mailing Address - Phone:917-517-3702
Mailing Address - Fax:
Practice Address - Street 1:101 WARREN ST
Practice Address - Street 2:APT. 1050
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1366
Practice Address - Country:US
Practice Address - Phone:917-517-3702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ58243207L00000X
NY253940207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology