Dr Lavanya Kodali, MD | |
3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | |
(703) 391-3129 | |
(703) 295-9369 |
Full Name | Dr Lavanya Kodali |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 29 Years |
Location | 3600 Joseph Siewick Dr, Fairfax, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518058569 | NPI | - | NPPES |
293961 | Other | VA | AMERIGROUP |
033579 | Other | VA | ANTHEM |
484645 | Other | VA | NCPPO |
9385084 | Other | VA | PHCS |
K142-0001 | Other | VA | CAREFIRST 2005 |
1518058569 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 0101236616 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Oneida Healthcare Center | Oneida, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesee Physician Practice Pllc | 6002114774 | 14 |
Entity Name | Premier Anesthesia Of New York, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063658961 PECOS PAC ID: 7719041102 Enrollment ID: O20090129000560 |
Entity Name | Genesee Physician Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598138356 PECOS PAC ID: 6002114774 Enrollment ID: O20160413000238 |
Mailing Address | Practice Location Address |
---|---|
Dr Lavanya Kodali, MD 3998 Fair Ridge Dr, Ste 300, Fairfax, VA 22033-2921 Ph: (703) 766-9737 | Dr Lavanya Kodali, MD 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 Ph: (703) 391-3129 |
Mrs. Gloria Gilbert Black, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369 | |
Barry Burureser Mcconville, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028 | |
Hang Jin Yoon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10734 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028 | |
Nancy R Couleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd, Suite 550, Fairfax, VA 22031 Phone: 703-573-2363 Fax: 703-573-7609 | |
Sang Joong Jeon, MEDICAL DOCTOR Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028 | |
Dr. Kaadze M Wright, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369 | |
Dr. Jai K Lee, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-295-9369 |