Provider Demographics
NPI:1871757963
Name:CHEBROLU, LAKSHMI HIMA BINDU (MD)
Entity type:Individual
Prefix:
First Name:LAKSHMI
Middle Name:HIMA BINDU
Last Name:CHEBROLU
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 1:8520 BROADWAY ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7716
Mailing Address - Country:US
Mailing Address - Phone:713-441-9909
Mailing Address - Fax:281-485-7305
Practice Address - Street 1:8520 BROADWAY ST
Practice Address - Street 2:SUITE 230
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7716
Practice Address - Country:US
Practice Address - Phone:713-441-9909
Practice Address - Fax:281-485-7305
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT193281207R00000X
TXQ2981207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX366648902Medicaid
TX366648901Medicaid
TX8GJ470OtherBCBS
TX8GJ470OtherBCBS
TX548815ZSWCMedicare PIN