Provider Demographics
NPI:1063946044
Name:LAKSHMINARASIMHAN, APARNA (MD)
Entity type:Individual
Prefix:MS
First Name:APARNA
Middle Name:
Last Name:LAKSHMINARASIMHAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:APARNA
Other - Middle Name:
Other - Last Name:LAKSHIMARASIMHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6071 WEST OUTER DRIVE
Mailing Address - Street 2:SINAI GRACE HOSPITAL DEPARTMENT OF MEDICINE - 4 MAIN
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235
Mailing Address - Country:US
Mailing Address - Phone:313-966-7434
Mailing Address - Fax:
Practice Address - Street 1:6071 WEST OUTER DRIVE
Practice Address - Street 2:SINAI GRACE HOSPITAL
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235
Practice Address - Country:US
Practice Address - Phone:313-966-7434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV29719207R00000X
DEC1-0028149207R00000X
390200000X
PAMD480223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program