Individual
LAVANYA MADABUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9512 HARFORD RD STE 201, BALTIMORE, MD 21234-3125
(410) 882-0600
Mailing address
9512 HARFORD RD STE 201, BALTIMORE, MD 21234-3125
(410) 882-0600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0104110
MD
Other
Enumeration date
04/08/2022
Last updated
08/21/2025
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