Provider Demographics
NPI:1528299930
Name:LAKSHMI V. DUNDOO, MD, PC
Entity type:Organization
Organization Name:LAKSHMI V. DUNDOO, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNDOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-842-0443
Mailing Address - Street 1:14 OVERHILLS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1532
Mailing Address - Country:US
Mailing Address - Phone:314-842-0443
Mailing Address - Fax:314-842-8348
Practice Address - Street 1:10004 KENNERLY ROAD
Practice Address - Street 2:SUITE 271 B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128
Practice Address - Country:US
Practice Address - Phone:314-842-0443
Practice Address - Fax:314-842-8348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty