Individual
DR. LAKSHMAN KUMAR DINAVAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3505 LASSITER FALLS DR NE, MARIETTA, GA 30062-4199
(414) 916-9031
Mailing address
3505 LASSITER FALLS DR NE, MARIETTA, GA 30062-4199
(414) 916-9031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52384-20
WI
207R00000X
Internal Medicine Physician
Primary
70088
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
52384-20
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
70088
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
70088
GA
Other
Enumeration date
04/28/2008
Last updated
02/03/2024
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