Basic Information
Provider Information
NPI: 1760877682
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAKHA
FirstName: SAMEER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 GUSTAVE L LEVY PL # 1264
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296504
CountryCode: US
TelephoneNumber: 2122411582
FaxNumber:  
Practice Location
Address1: 1 GUSTAVE L LEVY PL
Address2: KCC 8TH FLOOR
City: NEW YORK
State: NY
PostalCode: 100296504
CountryCode: US
TelephoneNumber: 2122417473
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/30/2015
LastUpdateDate: 12/31/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LC0200X291209NYN Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
207L00000X283124MAN Allopathic & Osteopathic PhysiciansAnesthesiology 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207L00000X291209NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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