Provider Demographics
| NPI: | 1770509903 |
|---|---|
| Name: | LAKSHMINARASIMHACHAR, ANAND (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | ANAND |
| Middle Name: | |
| Last Name: | LAKSHMINARASIMHACHAR |
| 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: | PO BOX 7412011 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CHICAGO |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60674-2011 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 800-862-9980 |
| Mailing Address - Fax: | 314-362-1185 |
| Practice Address - Street 1: | 1 BARNES JEWISH HOSPITAL PLZ |
| Practice Address - Street 2: | DEPT ANESTHESIOLOGY |
| Practice Address - City: | SAINT LOUIS |
| Practice Address - State: | MO |
| Practice Address - Zip Code: | 63110-1003 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 800-862-9980 |
| Practice Address - Fax: | 314-362-1185 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-07-14 |
| Last Update Date: | 2025-04-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MO | 2008033153 | 207L00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MO | 209208701 | Medicaid | |
| IL | ENROLLED | Medicaid | |
| MO | P00254688 | Medicare PIN | |
| AR | 184881001 | Medicaid | |
| OK | 200307950A | Medicaid | |
| MO | 923580174 | Medicare PIN |