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Contact Information

LAKSHMI MITREYI GORUGANTULA
13115 JOSEY LN
FARMERS BRANCH, TX75234-6350
 Phone: 972-243-7171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Oral and Maxillofacial Radiology

1223X0008X
 

Oral Medicinist

125Q00000X
Indicates primary specialty

NPI Profile & details for LAKSHMI MITREYI GORUGANTULA · (Female)

NPI Number 1316366180
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2014
Last updated 11/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 32505
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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