Whalio Doctors

NPI 1396208781

Divya Lakshmi Indrakanti, MD

Practitioner Ophthalmology Physician Jackson, TN

Practice location

Address
112 Stonebridge Blvd, Jackson, TN 38305-2038
Phone
(731) 664-1994
Mailing address
198 Moses Dr, Jackson, TN 38305-6938

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD0000069208 (TN)

Registry record

NPI
1396208781
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Apr 2019
Record last updated
11 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.