LAKSHMI K DASARI PC (NPI# 1710182829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710182829 |
| Entity Type | Organization |
| Organization Name | LAKSHMI K DASARI PC |
| Practice Address |
6005 Park Ave Ste 720b Memphis TN 38119-5202 |
| Mailing Address |
Po Box 3034 Cordova TN 38088-3034 |
| Practice Telephone | 9017630730 |
| Practice Fax Number | 9017630270 |
| Mailing Telephone | 9017630579 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | LAKSHMI K DASAREE (LAKSHMI K DASAREE MD) |
| Authorized Official Telephone | 9017630730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD30076 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNISON HEALTHPLAN | 000000118233 | 01 | |
| TN | 3380512 | 05 | |
| AR | 134469001 | 05 | |
| TLC FAMILY HEALTHCARE | 5010784 | 01 | |
| TRICARE | 228634705 | 01 | |
| BCBST | 4053624 | 01 | |
| US DEPT OF LABOR | 125215000 | 01 |
| Street Address |
6005 PARK AVE STE 720B |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091612 | Eugene J. Spiotta Jr. | Internal Medicine | 6005 Park Ave, Ste 200, Memphis, TN 38119-5212 | 2005-05-24 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1023552387 | Mary Hamm | Social Worker | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-12-06 |
| 1427501147 | Michelle Colette Gammill | Physician Assistant | 6005 Park Ave, Suite 500b, Memphis, TN 38119-5202 | 2016-07-28 |
| 1659732063 | Jennifer Wineland Rich | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-03-11 |
| 1033581764 | Sue Stovall | Registered Nurse | 6005 Park Ave, Suite 630b, Memphis, TN 38119-5202 | 2015-10-21 |
| 1497121990 | Vogelfanger and Struble Clinic, Pllc | Nurse Practitioner | 6005 Park Ave, Unit 630b, Memphis, TN 38119-5202 | 2015-08-19 |
| 1801297551 | Robert W Greene Jr Md PC | Physical Medicine & Rehabilitation | 6005 Park Ave, Suite 112, Memphis, TN 38119-5202 | 2014-09-12 |
| 1780085787 | Isaac John M.d., P.c | Pediatrics | 6005 Park Ave, Memphis, TN 38119-5202 | 2014-09-09 |
| 1093131401 | Mid South Pain and Anesthesia Clinic | Durable Medical Equipment & Medical Supplies | 6005 Park Ave, Suite 502, Memphis, TN 38119-5202 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362889 | Christal Joy Gammage | Clinic/Center | 435 S Front St Apt 101, Memphis, TN 38103-6403 | 2019-12-02 |
| 1427370600 | Memphis Center for Reproductive Health | Clinic/Center | 1203 Poplar Ave, Memphis, TN 38104-7241 | 2010-02-16 |
| 1679769434 | Interventional Nephrology Specialists Pllc | Clinic/Center | 2200 Union Ave, Memphis, TN 38104-4205 | 2007-09-14 |
| 1649461435 | Gale Gardner, Md, PC | Clinic/Center | 1910 Madison Ave, Pmb #620, Memphis, TN 38104-2620 | 2007-08-06 |
| 1285120063 | Francis Camillo Md Pllc | Clinic/Center | 6005 Park Ave Ste 400, Memphis, TN 38119-5214 | 2018-07-05 |
| 1497244909 | Radix Wellness, LLC | Clinic/Center | 1314 Peabody Ave, Memphis, TN 38104-3500 | 2018-05-09 |
| 1629243175 | Monica A. Pasley, Md | Clinic/Center | 6027 Walnut Grove Rd, Suite 216, Memphis, TN 38120-2145 | 2008-04-25 |
| 1467640045 | Kathryn Byrd,md,pc. | Clinic/Center | 6401 Poplar Ave, Suite 324, Memphis, TN 38119-4823 | 2007-10-09 |
| 1922204585 | Complete Healthcare Center | Clinic/Center | 1750 Madison Ave, Suite 401, Memphis, TN 38104-6492 | 2007-06-21 |
| 1609905728 | The Vein Center | Clinic/Center | 6750 Poplar Ave, Suite 210, Memphis, TN 38138-7438 | 2007-03-05 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.