Provider Demographics
NPI:1811106529
Name:VENKATESHAIAH, LOKESH KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:LOKESH
Middle Name:KUMAR
Last Name:VENKATESHAIAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:520 SOUTH MAIN ST
Mailing Address - Street 2:SUITE #2446A
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1087
Mailing Address - Country:US
Mailing Address - Phone:330-253-7415
Mailing Address - Fax:330-253-5260
Practice Address - Street 1:224 W. EXCHANGE ST
Practice Address - Street 2:SUITE 380
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1796
Practice Address - Country:US
Practice Address - Phone:330-344-6676
Practice Address - Fax:330-434-3611
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2013-04-19
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Provider Licenses
StateLicense IDTaxonomies
OH57009963207R00000X
OH35.091321207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3019049Medicaid
OH3019049Medicaid