MEDICARE: DR. LAKSHMI BANGALORE VATSAN SRI 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	207V00000X	Obstetrics & Gynecology Physician	A131376	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	:	1437321866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAKSHMI BANGALORE VATSAN SRI M.D

Provider Business Mailing Address
First Line	:	1335 ALMANOR AVENUE
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025
Country	:	US
Telephone Number	:	650-666-0033
Fax Number	:	650-300-4647

Provider Business Practice Location Address
First Line	:	305 SOUTH DR STE 4
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-4207
Country	:	US
Telephone Number	:	650-666-0033
Fax Number	:	650-300-4647

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

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	10/24/2025

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