Provider Demographics
NPI:1295183465
Name:VARADARAJALU, LAKSHMI (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:
Last Name:VARADARAJALU
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:NO 5 LEIN PERIERA STREET
Mailing Address - Street 2:SANTHOME
Mailing Address - City:CHENNAI
Mailing Address - State:TAMIL NADU
Mailing Address - Zip Code:600004
Mailing Address - Country:IN
Mailing Address - Phone:414-433-4987
Mailing Address - Fax:
Practice Address - Street 1:10299 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4337
Practice Address - Country:US
Practice Address - Phone:561-939-2796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-29
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI65662-20207RC0200X
OH35128915207RC0200X
KY49406207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine