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NPI Code Detail

MEDICARE: LAVANYA SRINIVASAN M.D.

MEDICARE:   LAVANYA  SRINIVASAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease PhysicianU3758TX

General Provider Information

NPI Number : 1447452610
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAVANYA SRINIVASAN M.D.
Provider Business Mailing Address
First Line : 900 W MAGNOLIA AVE STE 203
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-8507
Country : US
Telephone Number : 817-912-9500
Fax Number :
Provider Business Practice Location Address
First Line : 900 W MAGNOLIA AVE STE 203
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-8507
Country : US
Telephone Number : 817-912-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 10/15/2025

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Directions to “ LAVANYA SRINIVASAN M.D.” Practice Location

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