Provider Demographics
NPI:1649488693
Name:CHINAPPA NAGAPPA, LAKSHMI KANTH (MD)
Entity type:Individual
Prefix:DR
First Name:LAKSHMI KANTH
Middle Name:
Last Name:CHINAPPA NAGAPPA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:120 CHARLES ROLLINS RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2882
Mailing Address - Country:US
Mailing Address - Phone:252-436-1934
Mailing Address - Fax:252-433-0596
Practice Address - Street 1:120 CHARLES ROLLINS RD
Practice Address - Street 2:SUITE 206
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2882
Practice Address - Country:US
Practice Address - Phone:252-436-1934
Practice Address - Fax:252-433-0596
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD444038208600000X, 208D00000X
MI4301088669208600000X
NC200901550208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice