Provider Demographics
NPI:1053491548
Name:RAJDEV, LAKSHMI N (MD)
Entity Type:Individual
Prefix:
First Name:LAKSHMI
Middle Name:N
Last Name:RAJDEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E 77TH ST
Mailing Address - Street 2:APT 16A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-2303
Mailing Address - Country:US
Mailing Address - Phone:718-405-8505
Mailing Address - Fax:718-405-8507
Practice Address - Street 1:WEILER - DEPT. OF ONCOLOGY
Practice Address - Street 2:1695 EASTCHESTER ROAD
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195576207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology