Provider Demographics
NPI:1659626711
Name:BUDATI, SREE LAKSHMI (MD)
Entity Type:Individual
Prefix:
First Name:SREE LAKSHMI
Middle Name:
Last Name:BUDATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10470 OLD PLACERVILLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:460 PLUMAS BLVD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991
Practice Address - Country:US
Practice Address - Phone:530-749-3370
Practice Address - Fax:530-749-3466
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2018-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2015023153207Q00000X
ND13539207Q00000X
NDRL12319207Q00000X
CAA155813207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine