Individual
DR. BALAMURUGAN LAKSHMANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8790
(410) 225-8910
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(443) 610-4577
(410) 225-8910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0068287
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417551400
—
MD
01
—
S062-0504
CAREFIRST
MD
Enumeration date
05/24/2007
Last updated
04/29/2013
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