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NPI Code Detail

MEDICARE: LAKSHMI KODE SAMMARCO MD

MEDICARE: LAKSHMI KODE SAMMARCO 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
12085R0202XDiagnostic Radiology Physician35058809OH
22085N0700XNeuroradiology Physician35058809OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801883913
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKSHMI KODE SAMMARCO MD
Provider Business Mailing Address
First Line : 4795 DRAKE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-4119
Country : US
Telephone Number : 513-213-9330
Fax Number : 877-766-4557
Provider Business Practice Location Address
First Line : 4795 DRAKE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-4119
Country : US
Telephone Number : 513-213-9330
Fax Number : 877-766-4557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 05/11/2011

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Directions to “ LAKSHMI KODE SAMMARCO MD” Practice Location

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