Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | D0053733 | MD |
NPI | 1124074083 |
---|---|
Provider Name | Dr. Sanjiv Lakhanpal |
First Address | Baltimore, MD 21279-0142 |
Second Address | Greenbelt, MD 20770-2202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 25/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G69956 | (02) | MD |