Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME86977 | FL |
NPI | 1558332767 |
---|---|
Provider Name | Raam Satish Lakhani |
First Address | Lakeland, FL 33805-3019 |
Second Address | Lakeland, FL 33805-3109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 08/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H74250 | (02) |