MEDICARE: VENKATA LAAVANYA DIVAKARUNI 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
1	207Q00000X	Family Medicine Physician	D98286	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801425905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENKATA LAAVANYA DIVAKARUNI M.D.

Provider Business Mailing Address
First Line	:	10085 RED RUN BLVD STE 105
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4811
Country	:	US
Telephone Number	:	410-581-7804
Fax Number	:

Provider Business Practice Location Address
First Line	:	10085 RED RUN BLVD STE 105
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4811
Country	:	US
Telephone Number	:	410-581-7804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	07/05/2024

Similar Medicare Providers

1578385845 — GREATER BALTIMORE MEDICAL CENTER, INC.
Practice Location Address:

10085 RED RUN BLVD STE 105
OWINGS MILLS, MD
21117-4811

Practice Phone: 410-581-7804
Practice Fax:

1679888655 — ZONETAK HEALTHCARE AND
Practice Location Address:

10085 RED RUN BLVD STE 104
OWINGS MILLS, MD
21117-4811

Practice Phone: 410-363-8271
Practice Fax: 410-363-8273

1790139442 — REHOBOTH HEALTHCARE SERVICES
Practice Location Address:

10085 RED RUN BLVD STE 104 , SUITE 104
OWINGS MILLS, MD
21117-4811

Practice Phone: 443-352-3818
Practice Fax: 443-379-0051

1841052925 — PRIVIA MEDICAL GROUP, LLC
Practice Location Address:

10085 RED RUN BLVD STE 103
OWINGS MILLS, MD
21117-4811

Practice Phone: 410-363-2240
Practice Fax:

1669294930 — GREATER BALTIMORE MEDICAL CENTER, INC
Practice Location Address:

10085 RED RUN BLVD STE 105
OWINGS MILLS, MD
21117-4811

Practice Phone: 410-581-7804
Practice Fax:

1962183244 — LOVING CARE BEHAVIORAL HEALTH NETWORK, INCORPORATED
Practice Location Address:

10451 MILL RUN CIR STE 400
OWINGS MILLS, MD
21117-5594

Practice Phone: 301-755-8596
Practice Fax:

Directions to “ VENKATA LAAVANYA DIVAKARUNI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.