Provider Demographics
NPI:1114367547
Name:LAVUDI, SWATHI (MD)
Entity Type:Individual
Prefix:
First Name:SWATHI
Middle Name:
Last Name:LAVUDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3563 PRAIRIEVIEW ST STE 200
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-4442
Mailing Address - Country:US
Mailing Address - Phone:515-320-2965
Mailing Address - Fax:
Practice Address - Street 1:3563 PRAIRIEVIEW ST STE 200
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4442
Practice Address - Country:US
Practice Address - Phone:308-382-2010
Practice Address - Fax:308-382-9549
Is Sole Proprietor?:No
Enumeration Date:2013-06-29
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE30740207RN0300X
PAMT204811207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine