Provider Demographics
NPI:1710054424
Name:LAKSHMI GARIPALLI M.D.
Entity Type:Organization
Organization Name:LAKSHMI GARIPALLI M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:GARIPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-686-0066
Mailing Address - Street 1:PO BOX 659
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-0659
Mailing Address - Country:US
Mailing Address - Phone:908-688-3727
Mailing Address - Fax:908-686-3036
Practice Address - Street 1:1201 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3307
Practice Address - Country:US
Practice Address - Phone:908-688-3727
Practice Address - Fax:908-688-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ060083Medicare ID - Type Unspecified