Provider Demographics
NPI:1326373556
Name:AIYER, LALITHA PADMANABHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LALITHA PADMANABHAN
Middle Name:
Last Name:AIYER
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 1:7029 HERON CIR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-3975
Mailing Address - Country:US
Mailing Address - Phone:908-285-0444
Mailing Address - Fax:
Practice Address - Street 1:7029 HERON CIR
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-3975
Practice Address - Country:US
Practice Address - Phone:908-285-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06823100207R00000X
NY207889207R00000X
CAA54967207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine