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Lavanya Tiriveedhi, MD
Hematology & Oncology Physician in Springfield, Missouri
NPI 1255539581

Lavanya Tiriveedhi is a Hematology & Oncology Physician based in Springfield, MO and is specialized in Hematology & Oncology. Lavanya Tiriveedhi practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Lavanya Tiriveedhi is 1255539581 and holds a License No. 2007013168 (Missouri).

The current practice location address for Lavanya Tiriveedhi is 2115 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-8099 and via fax at 417-820-8093.

Location: 2115 S Fremont Ave, Springfield, MO, 65801-2580
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Provider Profile Details
NPI Number
1255539581
Provider Name
Lavanya Tiriveedhi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2115 S Fremont Ave, Springfield, MO, 65801-2580
Phone Number
417-820-8099
Fax Number
417-820-8093
Provider Enumeration Date
07/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
# PENDING 01 MO AR BLUE SHIELD
# PENDING 05 MO
# PENDING 01 AR AR MEDICAID
institution
Provider Business Practice Location Address Details
Address
2115 S Fremont Ave
City
State
Zip
65804-2239
Phone Number
417-820-8099
Fax Number
417-820-8093
person
Provider Business Mailing Address Details
Address
2115 S Fremont Ave
City
State
Zip
65804-2239
Phone Number
417-820-8099
Fax Number
417-820-8093
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
2007013168 (Missouri)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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