Basic Information
| Provider Information | |||||||||
| NPI: | 1144891185 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YADUKUMAR | ||||||||
| FirstName: | LEKHA | ||||||||
| MiddleName: | TEJASWI | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2600 K AVE | ||||||||
| Address2: | SUITE 190 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750745306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2147382170 | ||||||||
| FaxNumber: | 9724240400 | ||||||||
| Practice Location | |||||||||
| Address1: | THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION | ||||||||
| Address2: | 501 S WASHINGTON AVE | ||||||||
| City: | SCRANTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705915153 | ||||||||
| FaxNumber: | 5703434800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2021 | ||||||||
| LastUpdateDate: | 10/21/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.