Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 82893 | GA |
NPI | 1376834408 |
---|---|
Provider Name | Lakshmi Sridharan |
First Address | New York, NY 10032 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2011 |
Last Update Date | 01/07/2019 |