MEDICARE: DR. LALIT K VADLAMANI 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	207RC0000X	Cardiovascular Disease Physician	35.074583	OH
2	207RC0000X	Cardiovascular Disease Physician	46492	KY
3	207RC0000X	Cardiovascular Disease Physician	7155	SD
4	207RC0000X	Cardiovascular Disease Physician	0101239424	VA
5	207RI0011X	Interventional Cardiology Physician	35.074583	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00349727	OTHER	DC	RAILROAD MEDICARE DC #
15	P00450455	OTHER	VA	RAILROAD MEDICARE # VA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	7155	OTHER	SD	DAKOTACARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	4992405	OTHER		WELLMARK BC/BS OF SD
10	D41471053799	OTHER	SD	PREFERRED ONE
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	255328	OTHER	SD	MIDLAND'S CHOICE
13	HP88606	OTHER	SD	HEALTH PARTNERS
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770552648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LALIT K VADLAMANI M.D.

Provider Business Mailing Address
First Line	:	473 W 12TH AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43210-1252
Country	:	US
Telephone Number	:	614-293-4967
Fax Number	:	614-293-5614

Provider Business Practice Location Address
First Line	:	1210 CLARK ST
Second Line	:
City	:	CAMBRIDGE
State	:	OH
Zip	:	43725-9611
Country	:	US
Telephone Number	:	740-435-2700
Fax Number	:	614-293-5614

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	12/15/2021

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