Provider Demographics
NPI:1043274970
Name:BABU, LAKSHMI ARUN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:ARUN
Last Name:BABU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAKSHMI
Other - Middle Name:LEELA
Other - Last Name:RADHIKA DEVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:87 GLOVER ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-3321
Mailing Address - Country:US
Mailing Address - Phone:718-227-8925
Mailing Address - Fax:
Practice Address - Street 1:87 GLOVER ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-3321
Practice Address - Country:US
Practice Address - Phone:718-227-8925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238385207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine