Provider Demographics
NPI:1144589284
Name:CHEKURI, LAKSHMINARAYANA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMINARAYANA
Middle Name:
Last Name:CHEKURI
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 1:303 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5535
Mailing Address - Country:US
Mailing Address - Phone:940-536-8695
Mailing Address - Fax:
Practice Address - Street 1:5265 S BUSINESS 71
Practice Address - Street 2:STE A
Practice Address - City:PINEVILLE
Practice Address - State:MO
Practice Address - Zip Code:65865
Practice Address - Country:US
Practice Address - Phone:417-223-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MO20160124572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program