Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 01077934 | IN |
N | 207RI0200X | Infectious Disease | MD034555 | DC |
NPI | 1003997339 |
---|---|
Provider Name | Lavanya Nutankalva |
First Address | Washington, DC 20001-3027 |
Second Address | Washington, DC 20060-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 14/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010176531 | (05) | VA |
036829400 | (05) | DC |
408044100 | (05) | MD |
I38676 | (02) |