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NPI Code Detail

MEDICARE: LAXMIPRADHA CHANDRASEKAR MD

MEDICARE: LAXMIPRADHA CHANDRASEKAR MD
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
1207Q00000XFamily Medicine PhysicianME171601FL

General Provider Information

NPI Number : 1023750866
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAXMIPRADHA CHANDRASEKAR MD
Provider Business Mailing Address
First Line : 8727 TEMPLE TERRACE HWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637-6700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8727 TEMPLE TERRACE HWY
Second Line :
City : TAMPA
State : FL
Zip : 33637-6700
Country : US
Telephone Number : 813-796-5400
Fax Number : 813-776-5400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2022
Last Update Date : 06/24/2025

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Directions to “ LAXMIPRADHA CHANDRASEKAR MD” Practice Location

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