Individual
DR. LAKSHMANA K. PENDYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 QUATERMASTER COURT, JEFFERSONVILLE, IN 47130-3623
(812) 282-1617
(812) 288-7628
Mailing address
800 HIGHLANDER POINT DR, SUITE 240, FLOYDS KNOBS, IN 47119-9465
(812) 542-4921
(812) 949-5966
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01066037A
IN
207RC0000X
Cardiovascular Disease Physician
42288
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200940910
—
IN
Enumeration date
09/29/2005
Last updated
12/07/2020
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