Provider Demographics
NPI:1851638357
Name:DRAKSHARAM, PADMA LAKSHMI (MD)
Entity Type:Individual
Prefix:DR
First Name:PADMA
Middle Name:LAKSHMI
Last Name:DRAKSHARAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PADMA
Other - Middle Name:LAKSHMI
Other - Last Name:REPALLE DINAKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:1957 ANTILLEY RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5208
Practice Address - Country:US
Practice Address - Phone:325-692-0188
Practice Address - Fax:325-698-4250
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7181207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology