Individual
DR. LAVANYA BOJJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
(315) 425-4827
Mailing address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
(315) 425-4827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD438162
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102367071
—
PA
01
—
20096568
AMERIHEALTH MERCY-WMG
PA
01
—
2125431
HIGHMARK BLUE SHIELD-WMG
PA
01
—
283547
UNISON-WMG
PA
01
—
956416
CAREFIRST MD BCBS
MD
01
—
P009414
GATEWAY-WMG
PA
Enumeration date
12/07/2007
Last updated
08/14/2020
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