Basic Information
| Provider Information | |||||||||
| NPI: | 1386678829 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PASUMARTHY | ||||||||
| FirstName: | LAKSHMI | ||||||||
| MiddleName: | SAKUNTALA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177418003 | ||||||||
| FaxNumber: | 7174617404 | ||||||||
| Practice Location | |||||||||
| Address1: | 25 MONUMENT RD | ||||||||
| Address2: | SUITE 140 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174035060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177418003 | ||||||||
| FaxNumber: | 7174617404 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 05/19/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD073127L | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | MD073127L | PA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 0973443000 | 01 | PA | AMERIHEALTH 65 PA | OTHER | 294018 | 01 | PA | MAMSI-WMG | OTHER | P002997 | 01 | PA | GATEWAY-WMG | OTHER | 01133803 | 01 | PA | CAPITAL BLUE CROSS-WMG | OTHER | 1306410 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 7652460 | 01 | PA | AETNA | OTHER | 001857825 | 05 | PA | MEDICAID | 119635 | 01 | PA | UNISON-WMG | OTHER | 611326 | 01 | MD | CAREFIRST MD BCBS | OTHER | 11147 | 01 | PA | JOHNS HOPKINS | OTHER | 1803 | 01 | PA | GEISINGER | OTHER | 20005309 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 30151209 | 01 | PA | AMERIHEALTH CARITAS PA - WMG - WRC | OTHER |