Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | CI0006683 | DE |
NPI | 1134181613 |
---|---|
Provider Name | Shankar Lakhani |
First Address | Dover, DE 19904-3489 |
Second Address | Dover, DE 19904-3489 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 03/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000033362 | (05) | DE |
H78058 | (02) |