Individual
LAKSHMI MAHABASHYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-3651
(570) 214-9585
(570) 214-9519
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301100065
MI
207R00000X
Internal Medicine Physician
MD464147
PA
208M00000X
Hospitalist Physician
42746
IA
208M00000X
Hospitalist Physician
Primary
MD464147
PA
Other
Enumeration date
06/25/2012
Last updated
10/28/2019
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