Lakshmi K Dasari PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD30076 Issued in TN

Legal business name

LAKSHMI K DASARI PC

Practice address

6005 Park Ave
Ste 720B
Memphis, TN 38119-5202

Phone

(901) 763-0730

Fax

(901) 763-0270

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Lakshmi K DasareeNPI 1225089477

Title

Lakshmi K Dasaree MD

Phone

(901) 763-0730

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakshmi K Dasaree, MD

  • Gastroenterology Physician
  • Memphis, TN
  • NPI 1225089477
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1710182829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3034",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380883034",
            "telephone_number": "901-763-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "STE 720B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-763-0730",
            "fax_number": "901-763-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKSHMI K DASARI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "DASAREE",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LAKSHMI K DASAREE MD",
        "authorized_official_telephone_number": "901-763-0730"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "MD30076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "125215000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC FAMILY HEALTHCARE",
            "identifier": "5010784",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4053624",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTHPLAN",
            "identifier": "000000118233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "228634705",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134469001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3380512",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven C. Laizure, PHARM.D.
• Bernadine Vernetta Lake, M.D.
• Soccorri Lakes
• Lakeside Professional Billing
• Fnu Lakhmi
• Lal Health Care Services
• Brian Lam, PA-C
• Catherine Lam, MD
• Day N Lam, PHARM D
• Jessica Lam

• Medical Specialty Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.