Basic Information
Provider Information
NPI: 1215000682
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DHARMARAJAN
FirstName: LEKSHMI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 234 E 149TH ST
Address2: # 7C
City: BRONX
State: NY
PostalCode: 104515504
CountryCode: US
TelephoneNumber: 7185794876
FaxNumber: 7185795137
Practice Location
Address1: 234 E 149TH ST
Address2: # 7C
City: BRONX
State: NY
PostalCode: 104515504
CountryCode: US
TelephoneNumber: 7185794876
FaxNumber: 7185795137
Other Information
ProviderEnumerationDate: 11/15/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X134634NYY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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