Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavanya Namballa, MD

Individual provider Internal Medicine Physician · NPI 1881030658

Lavanya Namballa, MD is an Internal Medicine in Minneapolis, Minnesota. Qualified in 1998, 28 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Nevada.

Years since qualifying
28
Licensed in
MN, NV
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1527 E Lake St
Minneapolis, MN 55407-6700
Phone: (612) 721-6511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1155 Mill St # W11, Reno, NV 89502-1576 — (775) 327-5174
  • 1075 N Hills Blvd Ste 180, Reno, NV 89506-6799 — (775) 982-5000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 65322 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 17628 (NV)

Record details

NPI number1881030658
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2013
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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