Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036.123006 | IL |
N | 111NI0900X | Internist | 036.123006 | IL |
N | 207R00000X | Internist | 125050611 | IL |
N | 111NI0900X | Internist | 125050611 | IL |
N | 207R00000X | Internist | 4301098068 | MI |
N | 111NI0900X | Internist | 4301098068 | MI |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 67204 | WI |
Y | 207RC0000X | Internist - Cardiovascular Disease | 0101264702 | VA |
NPI | 1932302098 |
---|---|
Provider Name | Madhab Lamichhane |
First Address | Newport News, VA 23601-1318 |
Second Address | Newport News, VA 23606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 01/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036.123006 | STATE OF ILLINOIS DFPR PHYSICIAN LICENSURE (01) | IL |
125-050611 | PHYSICIAN TEMPORARY LICEN (01) | IL |
1932302098 | (05) | MI |
4301098068 | PHYSICIAN LICENSE, BOARD OF MEDICINE (01) | MI |
809840 | MEDICARE GROUP PTAN (01) | IL |