Provider Demographics
NPI:1699828848
Name:ATLURI, RAO LAKSHMANA (MD MEDICO GENERALIST)
Entity Type:Individual
Prefix:DR
First Name:RAO
Middle Name:LAKSHMANA
Last Name:ATLURI
Suffix:
Gender:M
Credentials:MD MEDICO GENERALIST
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Mailing Address - Street 1:14051 E RAMONA PKWY
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706
Mailing Address - Country:US
Mailing Address - Phone:626-338-7338
Mailing Address - Fax:626-338-0201
Practice Address - Street 1:14051 E RAMONA PKWY
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706
Practice Address - Country:US
Practice Address - Phone:626-338-7338
Practice Address - Fax:626-338-0201
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2010-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA29778207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0A297780Medicaid
CAA29778Medicare ID - Type Unspecified
CA0A297780Medicaid