Provider Demographics
NPI:1386678829
Name:PASUMARTHY, LAKSHMI SAKUNTALA (MD)
Entity type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:SAKUNTALA
Last Name:PASUMARTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 140
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5060
Practice Address - Country:US
Practice Address - Phone:717-741-8003
Practice Address - Fax:717-461-7404
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD073127L207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD611326OtherCAREFIRST MD BCBS
PA30151209OtherAMERIHEALTH CARITAS PA - WMG - WRC
PA1306410OtherHIGHMARK BLUE SHIELD
PA20005309OtherAMERIHEALTH MERCY-WMG
PA1803OtherGEISINGER
PAP002997OtherGATEWAY-WMG
PA01133803OtherCAPITAL BLUE CROSS-WMG
PA11147OtherJOHNS HOPKINS
PA001857825Medicaid
PA0973443000OtherAMERIHEALTH 65 PA
PA119635OtherUNISON-WMG
PA294018OtherMAMSI-WMG
PA7652460OtherAETNA
PA01133803OtherCAPITAL BLUE CROSS-WMG
PA051972FLTMedicare PIN
PA110228585Medicare PIN