| Lakshmidevi V. Putta, Md Inc | |
|
2625 W Alameda Ave Suite 424 Burbank CA 91505-4806 | |
| (818) 848-2351 | |
| (818) 848-3164 |
| Full Name | Lakshmidevi V. Putta, Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2625 W Alameda Ave, Burbank, California |
| Authorized Official Name and Position | Lakshmidevi V Putta (OWNER) |
| Authorized Official Contact | 8188482351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakshmidevi V. Putta, Md Inc 2625 W Alameda Ave Suite 424 Burbank CA 91505-4806 Ph: (818) 848-2351 | Lakshmidevi V. Putta, Md Inc 2625 W Alameda Ave Suite 424 Burbank CA 91505-4806 Ph: (818) 848-2351 |
| NPI Number | 1639457138 |
|---|---|
| Provider Enumeration Date | 08/01/2011 |
| Last Update Date | 08/01/2011 |
| Medicare PECOS PAC ID | 8325215130 |
|---|---|
| Medicare Enrollment ID | O20120229000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639457138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lakshmidevi J Putta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962435628 PECOS PAC ID: 5698877413 Enrollment ID: I20070226000516 |
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