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

LAVANYA KODALI, M.D

Active Sole Proprietor

LAVANYA KODALI, M.D is a Pulmonary Disease healthcare provider located in ITHACA, New York. NPI 1114172038 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · ITHACA, NY

Registration Details

NPI Number
1114172038
Provider Type
Individual
Gender
Female
NPI Issued
Nov 19, 2008 (17.762685125076 yrs)
Last Updated
Dec 19, 2014
Licenses
250703 (NY)
250703 (NY)
250703 (NY)
250703 (NY)
Sole Proprietor
Yes

Practice Information

Address
201 DATES DR STE 101
ITHACA, NY, 148501345
Browse NY providers · Browse ZIP 14850
Phone
6078822277
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Pulmonary Disease
Additional Specialty
Sports Medicine (IM)
Additional Specialty
Critical Care Medicine

Other Pulmonary Disease Providers in ITHACA, NY

Name Credential NPI
SUSHILKUMAR SATISH GUPTA MD 1750799722
SAMUEL PETER FRANCIS M.D. 1316478050
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.