MEDICARE: LAKSHMI HIMA BINDU CHEBROLU 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	207R00000X	Internal Medicine Physician	MT193281	PA
2	207RC0000X	Cardiovascular Disease Physician	Q2981	TX

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	8GJ470	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1871757963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKSHMI HIMA BINDU CHEBROLU M.D

Provider Business Mailing Address
First Line	:	8520 BROADWAY ST
Second Line	:	SUITE 230
City	:	PEARLAND
State	:	TX
Zip	:	77584-7716
Country	:	US
Telephone Number	:	713-441-9909
Fax Number	:	281-485-7305

Provider Business Practice Location Address
First Line	:	8520 BROADWAY ST
Second Line	:	SUITE 230
City	:	PEARLAND
State	:	TX
Zip	:	77584-7716
Country	:	US
Telephone Number	:	713-441-9909
Fax Number	:	281-485-7305

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

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	08/31/2017

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