Basic Information
| Provider Information | |||||||||
| NPI: | 1619131604 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHIKHMAN | ||||||||
| FirstName: | LANA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SHIKHMAN | ||||||||
| OtherFirstName: | SVETLANA | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 185 QUEEN CITY AVE | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031017121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036683067 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 185 QUEEN CITY AVE | ||||||||
| Address2: | |||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031017121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036683067 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2008 | ||||||||
| LastUpdateDate: | 07/08/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MT193952 | PA | N | Allopathic & Osteopathic Physicians | Surgery | 2086X0206X | 254908 | MA | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology | 208600000X | 254908 | MA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 16735 | NH | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.