Individual
KRISHNA VARDHAN VENKATA DASARI LAKSHMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2055 E SOUTH BLVD STE 202, MONTGOMERY, AL 36116-2002
(334) 747-7575
(334) 747-7590
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.36127
AL
Other
Enumeration date
08/04/2014
Last updated
01/06/2023
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