Basic Information
| Provider Information | |||||||||
| NPI: | 1255759536 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KRVESHI | ||||||||
| FirstName: | LIRIM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 112 HOSPITAL LN | ||||||||
| Address2: | STE 303 | ||||||||
| City: | DANVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461221998 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037398048 | ||||||||
| FaxNumber: | 2037394912 | ||||||||
| Practice Location | |||||||||
| Address1: | 112 HOSPITAL LN STE 303 | ||||||||
| Address2: | |||||||||
| City: | DANVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461221998 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3177184000 | ||||||||
| FaxNumber: | 3177184005 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2014 | ||||||||
| LastUpdateDate: | 09/24/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 02006459A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RP1001X | 02006459A | IN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.