Dr Lakshminarayana Gajula, MD | |
281 N 12th St, Suite E, Lehighton, PA 18235-1101 | |
(610) 377-6969 | |
(610) 377-9099 |
Full Name | Dr Lakshminarayana Gajula |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 281 N 12th St, Lehighton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184719213 | NPI | - | NPPES |
000571402 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD022461E (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
---|---|
Dr Lakshminarayana Gajula, MD Po Box 783311, Philadelphia, PA 19178-3311 Ph: (484) 862-3295 | Dr Lakshminarayana Gajula, MD 281 N 12th St, Suite E, Lehighton, PA 18235-1101 Ph: (610) 377-6969 |
Narendra V Ambani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 990 Blakeslee Blvd East, Lehighton, PA 18235 Phone: 610-377-3252 Fax: 610-826-1289 | |
Aimee Marie Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 363 N 1st St, Lehighton, PA 18235 Phone: 610-377-6969 | |
Dr. Sarada Kadewari, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 281 N 12th Street, Lehighton, PA 18235 Phone: 610-377-6969 Fax: 610-377-9099 | |
Dr. Ramesh P Kadewari, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 281n 12th Street, Lehighton, PA 18235 Phone: 610-377-6969 Fax: 610-377-9099 |