Basic Information
| Provider Information | |||||||||
| NPI: | 1376639104 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GAHLOT | ||||||||
| FirstName: | LUXMI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 LECOM PL | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165052571 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148682507 | ||||||||
| FaxNumber: | 8148682522 | ||||||||
| Practice Location | |||||||||
| Address1: | 5401 PEACH ST STE 3300 | ||||||||
| Address2: | |||||||||
| City: | ERIE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 165092601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148687840 | ||||||||
| FaxNumber: | 8148682139 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2006 | ||||||||
| LastUpdateDate: | 12/23/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 12/23/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 22477 | WV | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | MD423793 | PA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | 35.088789 | OH | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207L00000X | 35-088789 | OH | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 1031123800001 | 05 | PA | MEDICAID | 3810007980 | 05 | WV | MEDICAID | 2722718 | 05 | OH | MEDICAID | P00404720 | 01 | WV | RR MEDICARE | OTHER |