Individual
DR. LAVANYA VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
A156541
CA
207RG0100X
Gastroenterology Physician
Primary
U8152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A156541
STATE MEDICAL LICENSE
CA
Enumeration date
05/12/2011
Last updated
06/07/2024
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