Provider Demographics
NPI:1356378657
Name:PADUMANE LAKSHMIPRASAD
Entity type:Organization
Organization Name:PADUMANE LAKSHMIPRASAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PADUMANE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKSHMIPRASAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-233-2535
Mailing Address - Street 1:PO BOX 52545
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-2545
Mailing Address - Country:US
Mailing Address - Phone:337-233-2535
Mailing Address - Fax:337-235-0157
Practice Address - Street 1:1211 COOLIDGE BLVD
Practice Address - Street 2:STE 203
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2636
Practice Address - Country:US
Practice Address - Phone:337-233-2535
Practice Address - Fax:337-235-0157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty