Provider Demographics
NPI:1770552648
Name:VADLAMANI, LALIT K (MD)
Entity type:Individual
Prefix:DR
First Name:LALIT
Middle Name:K
Last Name:VADLAMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1252
Mailing Address - Country:US
Mailing Address - Phone:614-293-4967
Mailing Address - Fax:614-293-5614
Practice Address - Street 1:1210 CLARK ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9611
Practice Address - Country:US
Practice Address - Phone:740-435-2700
Practice Address - Fax:614-293-5614
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.074583207RC0000X, 207RI0011X
KY46492207RC0000X
SD7155207RC0000X
VA0101239424207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC037792500Medicaid
SD6005760Medicaid
KY64045685Medicaid
VA010259428Medicaid
SD7155OtherDAKOTACARE
DCP00349727OtherRAILROAD MEDICARE DC #
VA010259355Medicaid
MD410345900Medicaid
4992405OtherWELLMARK BC/BS OF SD
SDD41471053799OtherPREFERRED ONE
OH2083614Medicaid
SD255328OtherMIDLAND'S CHOICE
SDHP88606OtherHEALTH PARTNERS
ND14638Medicaid
VAP00450455OtherRAILROAD MEDICARE # VA
SDHP88606OtherHEALTH PARTNERS
SDD41471053799OtherPREFERRED ONE
VAG83898Medicare UPIN