MEDICARE: PADUMANE LAKSHMIPRASAD

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
2	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1356378657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PADUMANE LAKSHMIPRASAD

Provider Business Mailing Address
First Line	:	PO BOX 52545
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70505-2545
Country	:	US
Telephone Number	:	337-233-2535
Fax Number	:	337-235-0157

Provider Business Practice Location Address
First Line	:	1211 COOLIDGE BLVD
Second Line	:	STE 203
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2636
Country	:	US
Telephone Number	:	337-233-2535
Fax Number	:	337-235-0157

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PADUMANE LAKSHMIPRASAD
Credential	:	MD
Telephone Number	:	337-233-2535

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	09/26/2008

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Directions to “PADUMANE LAKSHMIPRASAD ” Practice Location

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