Individual
LAKSHMI YALAVARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
908 ALLEN ST, SPRINGFIELD, MA 01118-2533
(413) 796-7494
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 293-9590
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
241981
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104039254
—
VA
Enumeration date
05/07/2007
Last updated
03/16/2015
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