Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | P1890 | TX |
N | 207XS0117X | Orthopaedic Spine Surgeon | P73587 | NY |
NPI | 1063668176 |
---|---|
Provider Name | Dr. Manish Prabhakar Lambat |
First Address | Pharr, TX 78577-1614 |
Second Address | Edinburg, TX 78539-1411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2008 |
Last Update Date | 15/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
292376502 | (05) | TX |
292376503 | (05) | TX |