Basic Information
Provider Information
NPI: 1003379181
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LALANI
FirstName: SARA
MiddleName: ALTAF
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 845347
Address2:  
City: DALLAS
State: TX
PostalCode: 752845347
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 6201 HARRY HINES BLVD
Address2:  
City: DALLAS
State: TX
PostalCode: 752350001
CountryCode: US
TelephoneNumber: 2146335555
FaxNumber: 2146456757
Other Information
ProviderEnumerationDate: 04/07/2019
LastUpdateDate: 09/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000XT5369TXY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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