Provider Demographics
NPI:1487689303
Name:ACHANTA, VENKATA LAKSHMI SK (MD)
Entity type:Individual
Prefix:
First Name:VENKATA LAKSHMI
Middle Name:SK
Last Name:ACHANTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 W SAM HOUSTON PKWY N STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-8224
Mailing Address - Country:US
Mailing Address - Phone:713-402-7824
Mailing Address - Fax:713-570-0196
Practice Address - Street 1:4700 W SAM HOUSTON PKWY N STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-8224
Practice Address - Country:US
Practice Address - Phone:713-402-7824
Practice Address - Fax:713-570-0196
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7808208M00000X, 207R00000X
OK24899208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1487689303OtherTRICARE SOUTH
TX200058007Medicaid
OK200087190AMedicaid
OK24899OtherLICENSE
TXP01205809OtherRAILROAD MCARE
TX1487689303OtherBCBS OF TX
OK34577OtherOBNDD
TX8BG291OtherBCBSTX PROVIDER NO.
TX200058001Medicaid
TXTXB162732Medicare PIN
OK200087190AMedicaid
TX8K9396Medicare PIN
TXTXB119343Medicare PIN
TX200058007Medicaid
TX1487689303OtherTRICARE SOUTH
TXP00783864Medicare PIN