Basic Information
Provider Information
NPI: 1871543553
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAKHIANI
FirstName: ASHOK
MiddleName: KUMAR
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 259 PARKERS MILL RD
Address2:  
City: SOMERSET
State: KY
PostalCode: 425013152
CountryCode: US
TelephoneNumber: 6066794782
FaxNumber: 6066785296
Practice Location
Address1: 90 MEDICAL LN
Address2:  
City: WHITLEY CITY
State: KY
PostalCode: 426534216
CountryCode: US
TelephoneNumber: 6063762466
FaxNumber: 6063763467
Other Information
ProviderEnumerationDate: 05/11/2006
LastUpdateDate: 10/22/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0804X34916KYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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