DR. SRIKANTH CHOUDARY LAVU (NPI# 1659886455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659886455 |
| Entity Type | Individual |
| Full Name | DR. SRIKANTH CHOUDARY LAVU |
| Credential | DO |
| Practice Address |
243 Curtiss Rd Ste 100 Barksdale Afb LA 71110 |
| Mailing Address |
1505 W Sherman Ave Vineland NJ 08360-7059 |
| Practice Telephone | 3185294507 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 02005495A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1505 W Sherman Ave, Vineland, NJ 083607059 | 8566418000 |
| Street Address |
243 CURTISS RD STE 100 |
| City | BARKSDALE AFB |
| State | LA |
| Zip Code | 71110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417937947 | Kermit G Helo IIi | Pediatrics | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2006-01-19 |
| 1427657543 | Michelle Ann Weiss | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2020-10-20 |
| 1457911471 | Timothy Ethridge | Physician Assistant | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-06-20 |
| 1548820178 | Michael Sean Daugherty | Physician Assistant | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-06-17 |
| 1265998462 | Brittney Theresa Yun | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2019-02-13 |
| 1083118525 | Matthew Scot Van Uitert | General Practice | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2018-03-20 |
| 1477061414 | Cynthia Williams Lecara | Registered Nurse | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2018-01-11 |
| 1942710223 | Charlotte Emma Buckley | Pharmacist | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2017-10-02 |
| 1306360250 | Kelsey E Jackson | Social Worker | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2017-08-02 |
| 1417327354 | Dynasty Stokes | Nurse Practitioner | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029704 | Melissa Nicole Ratliff | Dentist | 234 Curtiss Rd, Barksdale Afb, LA 71110 | 2018-07-09 |
| 1174010268 | Jeffrey M Van Ness | Student in an Organized Health Care Education/Training Program | Air Force Base Dentist Clinic, Twining Drive, Barksdale Afb, LA 71110 | 2018-04-16 |
| 1538577028 | Kevin Adams | Dentist | 234 Curtiss Road, Barksdale Afb, LA 71110 | 2014-07-28 |
| 1881908960 | Maria T Kalmantis | Pediatrics | University Hospital Heraklion, Heraklion, CRETE 71110 | 2010-08-02 |
| 1992931539 | Jonathan Schulze | Dentist | 40 Barksdale Blvd, Barksdale Afb, Apo, AA 71110 | 2009-06-10 |
| 1649405846 | Sylvia Jean Wimberly | Social Worker | 243 Curtis Road, Bldg. 4546, Suite 100, Barksdale Afb, LA 71110 | 2009-05-18 |
| 1730313602 | Brian W Signal | Military Health Care Provider | 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110 | 2009-05-07 |
| 1720298425 | Hap House | Day Training, Developmentally Disabled Services | 244 Turner Ave., Barksdaleafb, LA 71110 | 2007-05-23 |
| 1326197435 | Gigi Briones Russel Frost | Dental Hygienist | 1067 Twining Dr., Barksdale Afb, LA 71110 | 2007-01-09 |
| 1619034824 | Lakesha Wilson | Dental Hygienist | 1067 Twinning Dr., Bossier, LA 71110 | 2007-01-03 |
| Find all providers in zip 71110 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083118525 | Matthew Scot Van Uitert | General Practice | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2018-03-20 |
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| 1710495627 | Mayfield Advanced Medical, LLC | General Practice | 5419 Jackson St Ext Ste B, Alexandria, LA 71303-2322 | 2018-01-12 |
| 1568976413 | Brandie A Smith | General Practice | 19115 Florida Ave., Suite A, Albany, LA 70711 | 2017-11-29 |
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| 1548790470 | Cure Global, LLC | General Practice | 229 Hidden Pines Dr, Pineville, LA 71360-2203 | 2017-06-13 |
| Find all providers with the same taxonomy | ||||
| City | BARKSDALE AFB |
| Zip Code | 71110 |
Please comment or provide details below to improve the information on DR. SRIKANTH CHOUDARY LAVU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.