Individual
LAKSHMI V. PANDRANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 24725 E. JEFFERSON, ST. CLAIR SHORES, MI 48080
(586) 774-7800
(586) 771-0730
Mailing address
HENRY FORD HEALTH SYSTEM, 24725 E. JEFFERSON, ST. CLAIR SHORES, MI 48080
(586) 774-7800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301077786
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H262390
BLUE CROSS-BLUE CROSS
—
05
—
464323210
—
MI
01
—
LP077786
CHAMPUS-CHAMPUS
—
Enumeration date
11/17/2006
Last updated
10/11/2023
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