Korabathina, Lavanya

Korabathina, Lavanya is an individual health care provider with primary practice located at 460 N Elm St , Escondido CA 92025-3002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Korabathina, Lavanya can be contacted via phone (760) 737-6960.

Contact Information

Primary practice address
460 N Elm St Escondido CA 92025-3002
Phone: (760) 737-6960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME110980 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00243229 New York

Profile Details

NPI number 1255577961
LBN Legal business name Korabathina, Lavanya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2008
Last updated Oct 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255577961 NPPES
California Other GE691Z MEDICARE INDIVIDUAL PTAN
California Other 49067 MEDICARE INDIVIDUAL PTAN
California Other A119290 MEDICARE INDIVIDUAL PTAN
California Other W14158 MEDICARE INDIVIDUAL PTAN

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