National Provider Identifier
Lakshmi Bhaskar Biradavolu, M.D.
Lakshmi Bhaskar Biradavolu, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Elmira, NY and a listed phone number of (607) 732-1310.
Profile Overview
- NPI
- 1275630980
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- September 17, 2006
- Last Updated
- January 30, 2015
Practice Location
- 200 Madison Ave
- Suite 2B
- Elmira, NY 14901-3218
Phone: (607) 732-1310
Mailing Address
- 722 W Water St
- Elmira, NY 14905-2435
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1275630980
- Entity Type
- Individual
- Last Name
- Biradavolu
- First Name
- Lakshmi
- Middle Name
- Bhaskar
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 722 W Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2435
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 200 Madison Ave
- Practice Address Line 2
- Suite 2B
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3218
- Practice Country
- US
- Practice Phone
- (607) 732-1310
- Practice Fax
- (607) 733-0940
- Enumeration Date
- September 17, 2006
- Last Updated
- January 30, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 01648219 (NY)