Provider Demographics
NPI:1508178427
Name:KODEY, LAKSHMI KALYANI (MD)
Entity Type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:KALYANI
Last Name:KODEY
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 1:30 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:PA
Mailing Address - Zip Code:15223-1954
Mailing Address - Country:US
Mailing Address - Phone:412-782-6800
Mailing Address - Fax:
Practice Address - Street 1:30 HIGH ST
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:PA
Practice Address - Zip Code:15223-1954
Practice Address - Country:US
Practice Address - Phone:412-782-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD449839207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine