Individual
KAVITHA LINGINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 BLACK HORSE HILL ROAD, VETERANS AFFAIRS MEDICAL CENTER, COATESVILLE, PA 19320-2096
(610) 384-7711
(610) 380-4345
Mailing address
10 MAPLE AVE, METUCHEN, NJ 08840-1318
(732) 309-5655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA71923
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9083006
—
NJ
Enumeration date
06/03/2006
Last updated
07/08/2007
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