Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 045527 | GA |
Y | 207RX0202X | Medical Oncology | 045527 | GA |
NPI | 1083694954 |
---|---|
Provider Name | Anup Kumar Lahiry |
First Address | Gainesville, GA 30503-0658 |
Second Address | Gainesville, GA 30501-3834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 13/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000795407E | (05) | GA |
000795407G | (05) | GA |
10045328 | AMERIGROUP (01) | GA |
11170947 | MULTIPLAN (01) | GA |
340864 | WELLCARE (01) | GA |
3600053 | UNITED HEALTHCARE (01) | GA |
4408586 | AETNA (01) | GA |
52584815 | BCBS (01) | GA |
5803210 | CIGNA (01) | GA |
D57082 | (02) | GA |
P00021052 | RR MEDICARE-GRP # CC4177 (01) | GA |