Lavu, Kalyana C
Lavu, Kalyana C is an individual health care provider with primary practice located at 4015 Gateway Blvd , Newburgh IN 47630-8925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lavu, Kalyana C can be contacted via phone (812) 858-9400.Contact Information
Primary practice address
4015 Gateway Blvd
Newburgh IN 47630-8925
Phone: (812) 858-9400
Fax: (812) 858-9571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01072234A | Indiana |
Profile Details
| NPI number | 1538103759 |
|---|---|
| LBN Legal business name | Lavu, Kalyana C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jun 14th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538103759 | NPPES |
| Mississippi | MEDICAID | 4556714 |
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