MEDICARE: DR. LAKSHMANAN SATHYAVAGISWARAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	A30609	CA
2	207ZF0201X	Forensic Pathology Physician	A30609	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295763605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAKSHMANAN SATHYAVAGISWARAN M.D.

Provider Business Mailing Address
First Line	:	713 W DUARTE RD
Second Line	:	G 549
City	:	ARCADIA
State	:	CA
Zip	:	91007-7564
Country	:	US
Telephone Number	:	626-353-4321
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 W DUARTE RD
Second Line	:	G549
City	:	ARCADIA
State	:	CA
Zip	:	91007-7564
Country	:	US
Telephone Number	:	626-353-4321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	04/12/2026

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