Provider Demographics
NPI:1225089477
Name:DASAREE, LAKSHMI K (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:K
Last Name:DASAREE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3034
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38088-3034
Mailing Address - Country:US
Mailing Address - Phone:901-763-0579
Mailing Address - Fax:901-763-0270
Practice Address - Street 1:6005 PARK AVE
Practice Address - Street 2:SUITE 720B
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5202
Practice Address - Country:US
Practice Address - Phone:901-763-0730
Practice Address - Fax:901-763-0270
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000030076207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG68803Medicare UPIN