Lakshmidevi V. Putta, MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAKSHMIDEVI V. PUTTA, MD INC

Practice address

2625 W Alameda Ave
Suite 424
Burbank, CA 91505-4806

Phone

(818) 848-2351

Fax

(818) 848-3164

NPI assigned

Aug 1, 2011

Last updated

Aug 1, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lakshmidevi V Putta, M.D.NPI 1962435628

Title

Owner

Phone

(818) 848-2351

Specialties & licenses 1

Addresses

Other names 1

• Lakshmidevi V. Putta a sole propriatorship Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakshmidevi Putta, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1962435628
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1639457138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUITE 424",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-848-2351",
            "fax_number": "818-848-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W ALAMEDA AVE",
            "address_2": "SUITE 424",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054806",
            "telephone_number": "818-848-2351",
            "fax_number": "818-848-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKSHMIDEVI V. PUTTA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "PUTTA",
        "authorized_official_first_name": "LAKSHMIDEVI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-848-2351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakshmidevi V. Putta a sole propriatorship",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Myline Lam
• Trinh Lam, PHARMD
• Vivianne Lam

• Family Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.