institution
Lakshmi K Dasari Pc
Medical Specialty Clinic/Center in Memphis, Tennessee
NPI 1710182829

Lakshmi K Dasari Pc is a Medical Specialty Clinic/Center based in Cordova, TN and is specialized in Medical Specialty. Lakshmi K Dasari Pc practices in Memphis, TN. The NPI Number for Lakshmi K Dasari Pc is 1710182829 and holds a License No. MD30076 (Tennessee).

The current practice location address for Lakshmi K Dasari Pc is 6005 Park Ave, Memphis, TN and can be reached out via phone at 901-763-0730 and via fax at 901-763-0270. You can also correspond with Lakshmi K Dasari Pc through the mailing address at PO BOX 3034, CORDOVA, TN - 38088-3034 (mailing address contact number: 901-763-0579).

Location: 6005 Park Ave, Memphis, TN, 38088-3034
institution
Provider Profile Details
NPI Number
1710182829
Provider Name
Lakshmi K Dasari Pc
Credential
Provider Entity Type
Organization
Address
6005 Park Ave, Memphis, TN, 38088-3034
Phone Number
901-763-0730
Fax Number
901-763-0270
Provider Enumeration Date
06/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125215000 01 US DEPT OF LABOR
5010784 01 TLC FAMILY HEALTHCARE
4053624 01 BCBST
000000118233 01 UNISON HEALTHPLAN
228634705 01 TRICARE
134469001 05 AR
3380512 05 TN
institution
Provider Business Practice Location Address Details
Address
6005 Park Ave
City
State
Zip
38119-5202
Phone Number
901-763-0730
Fax Number
901-763-0270
person
Provider Business Mailing Address Details
Address
6005 Park Ave
City
State
Zip
38119-5202
Phone Number
901-763-0730
Fax Number
901-763-0270
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
MD30076 (Tennessee)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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