Individual
KALYANA C LAVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4015 GATEWAY BLVD, NEWBURGH, IN 47630-8925
(812) 858-9400
(812) 858-9571
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 858-9400
(812) 858-9571
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01072234A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4556714
—
MS
Enumeration date
06/16/2006
Last updated
06/14/2013
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