MEDICARE: LAKSHMISRI BHATTACHARJEE 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
1	207RP1001X	Pulmonary Disease Physician	ME79890	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC1527	OTHER	FL	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	N233149	OTHER	FL	PINELLAS COUNTY HUMAN SER
3	35571	OTHER	FL	BLUE CROSS BLUE SHEILD FL
4	48-01008	OTHER	FL	UNITED HEALTH CARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	N233149	OTHER	FL	WELL CARE
7	11230301	OTHER	FL	CITRUS HEALTH CARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	3563524	OTHER	FL	AETNA
10	3594800	OTHER	FL	CIGNA

General Provider Information

NPI Number	:	1790837086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKSHMISRI BHATTACHARJEE MD

Provider Business Mailing Address
First Line	:	5826 LONG BAYOU WAY S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33708-3530
Country	:	US
Telephone Number	:	727-542-5599
Fax Number	:

Provider Business Practice Location Address
First Line	:	5826 LONG BAYOU WAY S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33708-3530
Country	:	US
Telephone Number	:	727-542-5599
Fax Number	:

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	06/20/2024

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