IndividualActive
Lakshmi Beeravolu, MD
NPI 1376745117 · Clinical Neurophysiology Physician · Belleville, IL
Provider details
- NPI number
- 1376745117
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2014029851 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4550 Memorial Dr
Ste. A480
Belleville, IL 62226-5372
Phone: (618) 234-4531
Fax: (618) 234-4695
Approximate (ZIP-level) locationGet directions
Mailing address
4550 Memorial Dr
Belleville, IL 62226-5372
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.