Provider Demographics
NPI:1396719969
Name:ALAPATI, LAKSHMI L (MD)
Entity type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:L
Last Name:ALAPATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2560 24TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-5357
Mailing Address - Country:US
Mailing Address - Phone:309-779-4100
Mailing Address - Fax:309-779-4105
Practice Address - Street 1:2560 24TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-5357
Practice Address - Country:US
Practice Address - Phone:309-779-4100
Practice Address - Fax:309-779-4105
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036114452207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00302026OtherRR MEDICARE
IL036114452Medicaid
IA0746271Medicaid
K22801Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL
IA0746271Medicaid