Lalith P. Premachandra
Critical Care Medicine
5323 Harry Hines Blvd Utsw Nuerocritical Care Cs7.104b, Mc 8855
Dallas
, Texas 75390-7201
Lalith P. Premachandra
Critical Care Medicine
5323 Harry Hines Blvd Utsw Nuerocritical Care Cs7.104b, Mc 8855
Dallas
, Texas 75390-7201
(314) 251-6486
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About
Features
Specialties
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Lalith P. Premachandra
- 625 S. New Ballas Rd, Suite 7020 Hh
- St. Louis, MO
- Zip : 63141
- Phone : (314) 251-6486
Second Address
- Lalith P. Premachandra
- 5323 Harry Hines Blvd Utsw Nuerocritical Care Cs7.104b, Mc 8855
- Dallas, TX
- Zip : 75390-7201
- Phone : (214) 648-8513
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | R1619 | TX |
National Provider Identifier
| NPI | 1083025530 |
|---|---|
| Provider Name | Lalith P. Premachandra |
| First Address | St. Louis, MO 63141 |
| Second Address | Dallas, TX 75390-7201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2014 |
| Last Update Date | 14/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.