MEDICARE: DR. LAKSHMI L ALAPATI MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	036114452	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00302026	OTHER		RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1396719969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAKSHMI L ALAPATI MD

Provider Business Mailing Address
First Line	:	2560 24TH ST
Second Line	:	SUITE 201
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5357
Country	:	US
Telephone Number	:	309-779-4100
Fax Number	:	309-779-4105

Provider Business Practice Location Address
First Line	:	2560 24TH ST
Second Line	:	SUITE 201
City	:	ROCK ISLAND
State	:	IL
Zip	:	61201-5357
Country	:	US
Telephone Number	:	309-779-4100
Fax Number	:	309-779-4105

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	11/01/2011

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