Provider Demographics
NPI:1952973687
Name:LAKSHMI NAVEEN ADULT & GERIATRIC PSYCHIATRY LLC
Entity type:Organization
Organization Name:LAKSHMI NAVEEN ADULT & GERIATRIC PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-442-6717
Mailing Address - Street 1:PO BOX 411130
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-3130
Mailing Address - Country:US
Mailing Address - Phone:314-442-6717
Mailing Address - Fax:636-333-4509
Practice Address - Street 1:331 N NEW BALLAS RD
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-5502
Practice Address - Country:US
Practice Address - Phone:314-442-6717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty