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1528005345

NPI Code Detail

MEDICARE: LAKSHMY GOPALAKRISHNAN M.D.

MEDICARE: LAKSHMY GOPALAKRISHNAN 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	E3899	AR
2	208M00000X	Hospitalist Physician	M6635	TX
3	207R00000X	Internal Medicine Physician	M6635	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1528005345	OTHER	TX	BCBS TX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8BG290	OTHER	TX	BCBSTX PROV NO
4	1528005345	OTHER	TX	TRICARE SOUTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528005345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKSHMY GOPALAKRISHNAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 203257
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77216-3257
Country	:	US
Telephone Number	:	281-784-1088
Fax Number	:	281-784-1555

Provider Business Practice Location Address
First Line	:	211 HIGHLAND CROSS DR
Second Line	:	SUITE 275
City	:	HOUSTON
State	:	TX
Zip	:	77073-1733
Country	:	US
Telephone Number	:	281-784-1088
Fax Number	:	281-784-1555

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	03/19/2010

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Directions to “ LAKSHMY GOPALAKRISHNAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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