Provider Demographics
NPI:1467893065
Name:ARCOT JAYAGOPAL, LAKSHMAN NARAIN (MD)
Entity Type:Individual
Prefix:
First Name:LAKSHMAN
Middle Name:NARAIN
Last Name:ARCOT JAYAGOPAL
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 1:2829 S 138TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3303
Mailing Address - Country:US
Mailing Address - Phone:402-315-8044
Mailing Address - Fax:
Practice Address - Street 1:988440 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-8440
Practice Address - Country:US
Practice Address - Phone:402-559-4496
Practice Address - Fax:402-559-3341
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA607605662084N0400X
NE300072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology