Provider Demographics
NPI:1861482044
Name:VEMULAPALLI, LAKSHMI PRASAD M (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMI PRASAD
Middle Name:M
Last Name:VEMULAPALLI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1200 BROOKLYN AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4803
Mailing Address - Country:US
Mailing Address - Phone:210-225-4566
Mailing Address - Fax:210-225-5727
Practice Address - Street 1:1200 BROOKLYN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4803
Practice Address - Country:US
Practice Address - Phone:210-225-4566
Practice Address - Fax:210-225-5727
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2011-04-11
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Provider Licenses
StateLicense IDTaxonomies
TXJ5506207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043554701Medicaid
TXE14591Medicare UPIN
TX84V660Medicare ID - Type Unspecified