Provider Demographics
NPI:1225254741
Name:KARRI, LAVANYA (MD)
Entity Type:Individual
Prefix:
First Name:LAVANYA
Middle Name:
Last Name:KARRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S JACKSON AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3428
Mailing Address - Country:US
Mailing Address - Phone:412-359-8951
Mailing Address - Fax:412-734-7795
Practice Address - Street 1:100 S JACKSON AVE FL 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3428
Practice Address - Country:US
Practice Address - Phone:412-359-8951
Practice Address - Fax:412-734-7795
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD438485207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
12009437OtherCAQH
PA102387092Medicaid
PA102387092Medicaid
MD958587OtherCAREFIRST MD BCBS-WMG
PA20099603OtherAMERIHEALTH MERCY-WMG
PA284913OtherUNISON-WMG
PA284913OtherUNISON-WMG