Individual
DR. LAKSHMANA R MADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1119 S WASHINGTON AVE, SAGINAW, MI 48601-2558
(989) 752-1900
(989) 752-1901
Mailing address
1119 S WASHINGTON AVE, SAGINAW, MI 48601-2558
(989) 752-1900
(989) 752-1901
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301037304
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301037304
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280105610
—
MI
Enumeration date
06/27/2006
Last updated
03/31/2021
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