1770552648 NPI number — DR. LALIT K VADLAMANI M.D.

Table of content: DR. LALIT K VADLAMANI M.D. (NPI 1770552648)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770552648 NPI number — DR. LALIT K VADLAMANI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VADLAMANI
Provider First Name:
LALIT
Provider Middle Name:
K
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770552648
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
473 W 12TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43210-1252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-293-4967
Provider Business Mailing Address Fax Number:
614-293-5614

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1210 CLARK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMBRIDGE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43725-9611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-435-2700
Provider Business Practice Location Address Fax Number:
614-293-5614
Provider Enumeration Date:
03/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  35.074583 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 46492 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 7155 , registered in the state of SD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 0101239424 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0011X , with the licence number: 35.074583 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 037792500 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6005760 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 64045685 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010259428 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7155 . This is a "DAKOTACARE" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: P00349727 . This is a "RAILROAD MEDICARE DC #" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 010259355 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 410345900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4992405 . This is a "WELLMARK BC/BS OF SD" identifier . This identifiers is of the category "OTHER".
  • Identifier: D41471053799 . This is a "PREFERRED ONE" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: 2083614 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 255328 . This is a "MIDLAND'S CHOICE" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: HP88606 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( SD ) . This identifiers is of the category "OTHER".
  • Identifier: 14638 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00450455 . This is a "RAILROAD MEDICARE # VA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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