MEDICARE: HABEEB LAKHANI MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	ME0047935	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720389554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABEEB LAKHANI MD PA

Provider Business Mailing Address
First Line	:	10031 PINES BLVD STE 103
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6195
Country	:	US
Telephone Number	:	954-442-3400
Fax Number	:	954-442-0310

Provider Business Practice Location Address
First Line	:	7604 NW 186TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2929
Country	:	US
Telephone Number	:	305-362-8182
Fax Number	:	305-826-8460

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HABEEB ALI LAKHANI
Credential	:	MD
Telephone Number	:	954-442-3400

Provider Enumeration Date	:	11/10/2010
Last Update Date	:	10/14/2020

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