Organization
LAKSHMI P BADDELA, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI PRASINA BADDELA M.D. (PSYCHIATRIST/OWNER)
(443) 371-6999
Entity
Organization
Contact information
Practice address
2635 SMALLWOOD DR, ABINGDON, MD 21009-1532
(443) 371-6999
(443) 371-6998
Mailing address
2635 SMALLWOOD DR, ABINGDON, MD 21009-1532
(443) 371-6999
(443) 371-6998
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
D0047873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14VP
BCBS
MD
01
—
942649097
UHC
MD
01
—
IP166039
AETNA USHA
MD
01
—
M281
FEDERAL BLUE CROSS, BLUE CHOICE, ETC
MD
Enumeration date
06/30/2011
Last updated
07/09/2024
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