Basic Information
| Provider Information | |||||||||
| NPI: | 1770552648 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VADLAMANI | ||||||||
| FirstName: | LALIT | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 473 W 12TH AVE | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432101252 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142934967 | ||||||||
| FaxNumber: | 6142935614 | ||||||||
| Practice Location | |||||||||
| Address1: | 1210 CLARK ST | ||||||||
| Address2: | |||||||||
| City: | CAMBRIDGE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437259611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404352700 | ||||||||
| FaxNumber: | 6142935614 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2006 | ||||||||
| LastUpdateDate: | 12/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 35.074583 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 46492 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 7155 | SD | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 0101239424 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RI0011X | 35.074583 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
ID Information
| ID | Type | State | Issuer | Description | 037792500 | 05 | DC | MEDICAID | 6005760 | 05 | SD | MEDICAID | 64045685 | 05 | KY | MEDICAID | 010259428 | 05 | VA | MEDICAID | 7155 | 01 | SD | DAKOTACARE | OTHER | P00349727 | 01 | DC | RAILROAD MEDICARE DC # | OTHER | 010259355 | 05 | VA | MEDICAID | 410345900 | 05 | MD | MEDICAID | 4992405 | 01 | WELLMARK BC/BS OF SD | OTHER | D41471053799 | 01 | SD | PREFERRED ONE | OTHER | 2083614 | 05 | OH | MEDICAID | 255328 | 01 | SD | MIDLAND'S CHOICE | OTHER | HP88606 | 01 | SD | HEALTH PARTNERS | OTHER | 14638 | 05 | ND | MEDICAID | P00450455 | 01 | VA | RAILROAD MEDICARE # VA | OTHER |