Provider Demographics
NPI:1184889032
Name:LAKSHMAN, NARAYAN RONUR (MD)
Entity type:Individual
Prefix:DR
First Name:NARAYAN
Middle Name:RONUR
Last Name:LAKSHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 CRESCENT ST
Mailing Address - Street 2:APT 3C
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3256
Mailing Address - Country:US
Mailing Address - Phone:347-803-0220
Mailing Address - Fax:
Practice Address - Street 1:2022 CRESCENT ST
Practice Address - Street 2:APT 3C
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-3256
Practice Address - Country:US
Practice Address - Phone:347-803-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249332207LA0401X, 207LC0200X, 207LP2900X, 207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1184889032Medicaid
NY1184889032Medicaid
NY1184889032Medicare NSC
NY1184889032Medicare PIN
NY1184889032Medicare Oscar/Certification