Provider Demographics
NPI:1083799365
Name:RAJASEKHAR, LAKKARAJ (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKKARAJ
Middle Name:
Last Name:RAJASEKHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7218 STONE HARBOUR LANE
Mailing Address - Street 2:STE 200
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1690
Mailing Address - Country:US
Mailing Address - Phone:513-266-2458
Mailing Address - Fax:513-947-0400
Practice Address - Street 1:7218 STONE HARBOUR LN STE 200
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6569
Practice Address - Country:US
Practice Address - Phone:513-266-2458
Practice Address - Fax:513-947-0500
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY45929207RC0000X
FLME111239207RC0000X
OH45497207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH100740Medicare PIN