Provider Demographics
NPI:1407866874
Name:SITHANANDAM, LAVANYA
Entity Type:Individual
Prefix:DR
First Name:LAVANYA
Middle Name:
Last Name:SITHANANDAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9805 TIFFANY HILL CT
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2065
Mailing Address - Country:US
Mailing Address - Phone:301-564-0892
Mailing Address - Fax:
Practice Address - Street 1:7610 CARROLL AVE
Practice Address - Street 2:SUITE 380
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6384
Practice Address - Country:US
Practice Address - Phone:301-891-6141
Practice Address - Fax:301-891-6841
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061676208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics