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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKSHMI R. BEERAVOLU, MD

Active

LAKSHMI R. BEERAVOLU, MD is a Clinical Neurophysiology healthcare provider located in BELLEVILLE, Illinois. NPI 1376745117 is currently active in the NPPES registry. Verify at CMS.

Clinical Neurophysiology · BELLEVILLE, IL

Registration Details

NPI Number
1376745117
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2007 (19.220710884284 yrs)
Last Updated
Jan 15, 2026
Licenses
2014029851 (MO)
2014029851 (MO)
ME129984 (FL)
036131387 (IL)

Practice Information

Address
4550 MEMORIAL DR
STE. A480
BELLEVILLE, IL, 622265372
Browse IL providers · Browse ZIP 62226
Phone
6182344531
Fax
6182344695
Primary Specialty
Clinical Neurophysiology
2084N0600X
Additional Specialty
Clinical Neurophysiology
Additional Specialty
Neurology
Additional Specialty
Clinical Neurophysiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.