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Individual
LAVANYA KORABATHINA
Active
Individual
LAVANYA KORABATHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00243229
NY
208M00000X
Hospitalist Physician
ME110980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49067
LICENSE
CT
01
—
A119290
LICENSE
CA
01
—
GE691Z
MEDICARE INDIVIDUAL PTAN
CA
01
—
W14158
MEDICARE GROUP PTAN
CA
Enumeration date
12/30/2008
Last updated
10/03/2022
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