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General NPI Number Information
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NPI Number | 1588669303
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Entity Type | Individual
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Provider Name | RAJASHEKAR LAKKADI MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 705 E MARSHALL AVE STE 1002
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City | LONGVIEW
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State | TX
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Zip | 75601-5660
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Country | US
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Telephone | 903-315-2032
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Fax | 903-315-2719
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Provider Business Mailing Address
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Address Line | PO BOX 2527
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City | LONGVIEW
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State | TX
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Zip | 75606-2527
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Country | US
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Telephone | 903-331-0506
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Fax | 903-331-0462
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | M4849
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License Number State | TX
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