Healthcare Provider Details

I. General information

NPI: 1871526830
Provider Name (Legal Business Name): LAKSHMI PRIYA KASIRAJAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAKSHMIPRIYA KASIRAJAN M.D.

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST SM 1001
HOUSTON TX
77030-2717
US

IV. Provider business mailing address

4807 LOCUST ST
BELLAIRE TX
77401-4022
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-6722
  • Fax:
Mailing address:
  • Phone: 713-666-6364
  • Fax: 713-793-7064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberL9760
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberL9760
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberL9760
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number49539
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: