Pendyala, Lakshmana K.

Pendyala, Lakshmana K. is an individual health care provider with primary practice located at 41 Quatermaster Court , Jeffersonville IN 47130-3623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pendyala, Lakshmana K. can be contacted via phone (812) 282-1617.

Contact Information

Primary practice address
41 Quatermaster Court Jeffersonville IN 47130-3623
Phone: (812) 282-1617
Fax: (812) 288-7628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 42288 Kentucky
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01066037A Indiana

Profile Details

NPI number 1144217746
LBN Legal business name Pendyala, Lakshmana K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Dec 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144217746 NPPES
Indiana MEDICAID 200940910

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