Basic Information
Provider Information
NPI: 1700880457
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LASHGARI
FirstName: CYRUS
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 MEDICAL PKWY
Address2: SUITE 101
City: ANNAPOLIS
State: MD
PostalCode: 214013742
CountryCode: US
TelephoneNumber: 4102688862
FaxNumber: 4102804701
Practice Location
Address1: 2000 MEDICAL PKWY
Address2: SUITE 101
City: ANNAPOLIS
State: MD
PostalCode: 214013742
CountryCode: US
TelephoneNumber: 4102688862
FaxNumber: 4102804701
Other Information
ProviderEnumerationDate: 06/10/2005
LastUpdateDate: 10/22/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XD0059015MDY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home