Provider Demographics
NPI:1275535478
Name:SESHADRI, LAKSHMI (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:
Last Name:SESHADRI
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 1:7737 SOUTHWEST FWY
Mailing Address - Street 2:STE 970
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1807
Mailing Address - Country:US
Mailing Address - Phone:713-771-3831
Mailing Address - Fax:713-771-0263
Practice Address - Street 1:7737 SOUTHWEST FWY
Practice Address - Street 2:STE 970
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1807
Practice Address - Country:US
Practice Address - Phone:713-771-3831
Practice Address - Fax:713-771-0263
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1741207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110223827OtherRAILROAD MEDICARE
TX144291501Medicaid
TX0066GXOtherBLUE CROSS/BLUE SHIELD
TX7896253OtherAETNA
TX7896253OtherAETNA
TX00183QMedicare PIN