LEKHA KOPPOLU MUKKAMALA (NPI# 1548503543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548503543 |
| Entity Type | Individual |
| Full Name | LEKHA KOPPOLU MUKKAMALA |
| Other Name | LEKHA KOPPOLU RAVINDRARAJ |
| Credential | MD |
| Practice Address |
4860 Y St Ste 2400 Sacramento CA 95817 |
| Mailing Address |
4860 Y St Ste 2400 Sacramento CA 95817-2307 |
| Practice Telephone | 9167346602 |
| Mailing Telephone | 9167346602 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A148705 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Bergen St # I-248, Newark, NJ 071032496 | 9739726056 |
| Street Address |
4860 Y ST STE 2400 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578544136 | James David Brandt | Ophthalmology | 4860 Y St Ste 2400, Uc Davis Medical Center - Ophthalmology, Sacramento, CA 95817-2307 | 2005-11-10 |
| 1275175788 | Paul A. Sieving | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2019-10-16 |
| 1467942540 | Matthew Allen De Niear | Student in an Organized Health Care Education/Training Program | 4860 Y St Ste 2400, Sacramento, CA 95817 | 2018-05-15 |
| 1508380999 | Ralph Kyrillos | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2017-07-28 |
| 1336526888 | Philip Desouza | Internal Medicine | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2015-05-05 |
| 1376930065 | Marcela Maria Estrada | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2015-04-20 |
| 1295134286 | Elad Moisseiev | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2014-08-15 |
| 1609295583 | Natalie Homer | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817 | 2014-04-08 |
| 1134547664 | Jonathan Hernandez | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2014-04-01 |
| 1750709648 | Jeffrey Ma | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2014-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871909515 | Mazen Choulakian | Ophthalmology | 4680 Y St, Ste 2400, Sacramento, CA 95817-2307 | 2014-07-02 |
| 1053680934 | Michael James Skala | Ophthalmology | 2878 Fulton Avenue, Sacramento, CA 95821 | 2011-12-21 |
| 1194015800 | Neil Kelly | Ophthalmology | 3575 Garden Hwy, Sacramento, CA 95834-9608 | 2011-04-14 |
| 1427217512 | Kathryn Camille Dimiceli | Ophthalmology | 83 Scripps Dr Ste 220, Sacramento, CA 95825-6383 | 2008-06-04 |
| 1770646119 | Vitreo-retinal Medical Group, Inc. | Ophthalmology | 3939 J St Ste 104, Sacramento, CA 95819-3631 | 2006-12-18 |
| 1730253287 | Sacramento Eye Consultants | Ophthalmology | 1515 River Park Dr, Suite 100, Sacramento, CA 95815-4610 | 2006-11-17 |
| 1316025141 | John F Hills | Ophthalmology | 1238 S St., Sacramento, CA 95811 | 2006-11-01 |
| 1316025802 | Scott T. Mcfarland | Ophthalmology | 7501 Hospital Dr Ste 105, Sacramento, CA 95823-5405 | 2006-11-01 |
| 1144303801 | Stephen Kenneth Wong | Ophthalmology | 1 Scripps Dr Ste 303, Sacramento, CA 95825 | 2006-10-24 |
| 1518057108 | H Douglas Cooper | Ophthalmology | 1220 25th St, Sacramento, CA 95816-5005 | 2006-10-13 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.