Individual
DR. LAKSHMI SHANKARIAH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 SOUTH DRIVE, SUITE 131, MT PLEASANT, MI 48858
(989) 779-5250
(989) 779-5251
Mailing address
1201 SOUTH DRIVE, SUITE 131, MT PLEASANT, MI 48858
(989) 779-5250
(989) 779-5251
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301066496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4381630
—
MI
Enumeration date
03/15/2006
Last updated
07/08/2007
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