Basic Information
Provider Information
NPI: 1427635614
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAKHANI
FirstName: SALMAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1130 W MICHIGAN ST # FH204
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462025209
CountryCode: US
TelephoneNumber: 3172740076
FaxNumber: 3172740256
Practice Location
Address1: 1130 W MICHIGAN ST # FH204
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462025209
CountryCode: US
TelephoneNumber: 3172740076
FaxNumber: 3172740256
Other Information
ProviderEnumerationDate: 03/25/2021
LastUpdateDate: 06/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207L00000X02006773AINY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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