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Individual

DR. LAVANYA KODALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012027786
MO
207R00000X
Internal Medicine Physician
5179
NE
207RN0300X
Nephrology Physician
Primary
49902
AZ

Other

Enumeration date
04/18/2007
Last updated
09/08/2020
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