Provider Demographics
NPI:1265588834
Name:AMULURU, MD, LAVANYA (MD)
Entity type:Individual
Prefix:DR
First Name:LAVANYA
Middle Name:
Last Name:AMULURU, MD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAVANYA
Other - Middle Name:
Other - Last Name:YEGIREDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3014
Mailing Address - Street 2:1015 DUFF AVE MCFARLAND CLINIC, PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4760
Mailing Address - Fax:515-239-4420
Practice Address - Street 1:1015 DUFF AVE
Practice Address - Street 2:MCFARLAND CLINIC, PC
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-4760
Practice Address - Fax:515-239-4420
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241441207R00000X
IA38830207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine