Individual
ANUPAMA LAKSHMIKANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3166
(512) 346-6611
(512) 406-7315
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101252207
VA
208000000X
Pediatrics Physician
D0075290
MD
208000000X
Pediatrics Physician
Primary
P7299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340974001
—
TX
05
—
340974002
—
TX
Enumeration date
06/15/2009
Last updated
05/12/2021
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