Basic Information
| Provider Information | |||||||||
| NPI: | 1265405153 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DRS BOB LAKHANI ZIBELL PIERCE & MILLER | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | HARMONY PRIMARY CARE ASSOCIATES | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 MAIN STREET S 200 | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | REISTERSTOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105268310 | ||||||||
| FaxNumber: | 4105268316 | ||||||||
| Practice Location | |||||||||
| Address1: | 25 MAIN ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | REISTERSTOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211361298 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105268310 | ||||||||
| FaxNumber: | 4105268316 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2006 | ||||||||
| LastUpdateDate: | 10/25/2007 | ||||||||
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| AuthorizedOfficialLastName: | BOB | ||||||||
| AuthorizedOfficialFirstName: | HAROLD | ||||||||
| AuthorizedOfficialMiddleName: | BENTON | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4105268310 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.