Female

Dr. Vidhyalakshmi V. Jaishankar M.D.

Child & Adolescent Psychiatry Physician in Winter Park, FL(View on Map)

Full Name

Dr. Vidhyalakshmi V Jaishankar M.D.

NPI Number

1801992482

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/15/2006

Specialties

(Taxonomies)

Code

2084P0804X
2084P0800X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Ohio

License Number

ME119998
35088297

Contact
Information

Purpose

Mailing
Location

Address

1573 W FAIRBANKS AVE STE 100
1573 W FAIRBANKS AVE STE 100

City

Winter Park
Winter Park

State

FL
FL

Postal Code

32789-4679
32789

Country

US
US

Telephone Number

(407) 896-8097
(407) 896-8097

Identifiers

Identifier

014226400

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/23/2019

Provider Address

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