Provider Demographics
NPI:1598807851
Name:LAKSHMAN, RAMANI (MD)
Entity Type:Individual
Prefix:
First Name:RAMANI
Middle Name:
Last Name:LAKSHMAN
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 1:6307 THEODORE CT
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1629
Mailing Address - Country:US
Mailing Address - Phone:661-948-8581
Mailing Address - Fax:661-945-8369
Practice Address - Street 1:44900 N 60TH STREET
Practice Address - Street 2:HIGH DESERT HEALTH SYSTEM
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536
Practice Address - Country:US
Practice Address - Phone:661-948-8581
Practice Address - Fax:661-945-8368
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA049726208000000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF23241Medicare UPIN