MEDICARE: DR. RATHI LAKSHMI JOSEPH DO

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	208VP0014X	Interventional Pain Medicine Physician	96645	GA
2	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	96645	GA
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	96645	GA

General Provider Information

NPI Number	:	1578705331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RATHI LAKSHMI JOSEPH DO

Provider Business Mailing Address
First Line	:	3390 PEACHTREE RD NE STE 1500
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-2822
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 PARKBROOKE PL
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-7209
Country	:	US
Telephone Number	:	770-929-9033
Fax Number	:

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

Provider Enumeration Date	:	03/25/2009
Last Update Date	:	02/04/2026

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