Provider Demographics
NPI:1093925463
Name:HARAVU D LOKESH MD PA
Entity Type:Organization
Organization Name:HARAVU D LOKESH MD PA
Other - Org Name:A TO Z PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARAVU
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOKESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-375-5242
Mailing Address - Street 1:4804 ROWAN RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-5609
Mailing Address - Country:US
Mailing Address - Phone:727-375-5242
Mailing Address - Fax:727-375-5198
Practice Address - Street 1:4804 ROWAN RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-5609
Practice Address - Country:US
Practice Address - Phone:727-375-5242
Practice Address - Fax:727-375-5198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0076210208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004113500Medicaid
FLME0076210Medicaid
FL263233100Medicaid
FL254759701Medicaid
FL275911000Medicaid