National Provider Identifier
Lavanya Kodali, M.D
Lavanya Kodali, M.D is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician in Ithaca, NY and a listed phone number of (607) 882-2277.
Profile Overview
- NPI
- 1114172038
- Provider Type
- Individual
- Primary Specialty
- Pulmonary Disease Physician
- Enumeration Date
- November 19, 2008
- Last Updated
- December 19, 2014
Practice Location
- 201 Dates Dr Ste 101
- Ithaca, NY 14850-1345
Phone: (607) 882-2277
Specialties
- Pulmonary Disease Physician (207RP1001X)
- Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
- Internal Medicine Physician (207R00000X)
- Sleep Medicine (Internal Medicine) Physician (207RS0012X)
Full Record
- NPI
- 1114172038
- Entity Type
- Individual
- Last Name
- Kodali
- First Name
- Lavanya
- Credential
- M.D
- Provider Other Last Name
- Irugulapati
- Provider Other First Name
- Lavanya
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 201 Dates Dr Ste 101
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1345
- Mailing Country
- US
- Mailing Phone
- (607) 882-2277
- Practice Street Address
- 201 Dates Dr Ste 101
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1345
- Practice Country
- US
- Practice Phone
- (607) 882-2277
- Enumeration Date
- November 19, 2008
- Last Updated
- December 19, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pulmonary Disease Physician (207RP1001X), Critical Care Medicine (Internal Medicine) Physician (207RC0200X), Internal Medicine Physician (207R00000X), Sleep Medicine (Internal Medicine) Physician (207RS0012X)