Individual
LAKSHMI VS TENNETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.090701
OH
207RN0300X
Nephrology Physician
E-6997
AR
207RN0300X
Nephrology Physician
Primary
R9002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188916001
—
AR
01
—
5I056
AR BC/BS
AR
Enumeration date
10/26/2007
Last updated
02/10/2022
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