Individual
PRASHANT Y. LOTLIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2411 FOUNTAIN VIEW DR STE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR STE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105623602
—
TX
05
—
105623604
—
TX
01
—
8AV560
BLUE CROSS BLUE SHIELD
TX
01
—
P00604375
MEDICARE RAILROAD
TX
01
—
P00911619
RAILROAD MEDICARE
TX
Enumeration date
01/19/2007
Last updated
05/10/2011
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